Asymmetry on both upper lids

William Portuese, MD answers: Eyelid ptosis or extra skin?

I am going to see an eye surgeon in two weeks but I wanted to have an idea what to ask before I go. I am 26, I was told by my mother that my right eye drooped when I was younger. Now it appears to be my left eye, but when I pull the right eye down a bit and it folds over the eye brow, it appears to be lower then the left eye. Is my problem a ptosis or extra skin? Should I mention this to my doctor or see what he says first? It is more noticeable when I am tired.


William Portuese, MD
20 days ago

There is asymmetry on both upper lids. The eyelid crease on the left eye is higher than the right, and this is what you were born with. Asymmetrical upper eyelid surgery can be performed more so on the right eyelid than the left to make them more symmetrical.

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More answers to Eyelid ptosis or extra skin?

A: You have ptosis

Richard P. Rand, MD
2 months ago

 Your left eye looks ptotic and your history of it being worse with fatigue is supportive of this diagnosis.  Go to an ophthalmologist who does a lot of ptosis repairs for an exam and possible correction.

A: You have a ptosis of your left upper eyelid

J. Timothy Heffernan, MD
2 months ago

From the history and photographs that you provided it appears that you have a ptosis of the left upper lid. This can best be observed with the the high eyelid crease on the left and the fact that the lid margin is lower on the left eye versus the right.

You also have extra skin, dermatochalasis of the right upper lid but in my experience, a ptosis repair of the left upper lid should be just what you need.

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