Eyelid Surgery: Q&A
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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.
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14 Doctor Answers |
Asked by
Benny2367
in Chicago
+1
Asymmetry on both upper lids
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.
+1
You have a ptosis of your left upper eyelid
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.
+3
Asymmetric eyes - orbital dystopia
Often, asymmetry of the eyes is not due to ptosis, but due to orbital dystopia. That is a different "set" of the eyeball within the bone. One eyeball is literally deeper in the bone than the other.
In your case, it appears that the right eye "bulges" more. This causes a chain reaction. Often lower eyelid fat is more visible, there is more white showing below the pigmented portion of the eye, and the eye appears "bigger". The lid creases also appear...
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+2
Asymmetry is the answer
Looking at your picture, I see several interesting things.
First both lower lids are a bit droopy, but right more so than left. Note increased scleral (the white of the eye), especially laterally. Consideration to a lower lid tightening and repositioning procedure should be entertained.
Next, the upper lids seem about equal, but the left side has a deeper fold, and it may be due to your brows (there is asymmetry present).
I would also agree with the other doctors.
So what to ask? Ask for...
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+2
Ptosis of the Eye
I agree, your left eye does appear to be ptotic. It is best to see an occuloplastic surgeon to have this evaluated and treated. Ptosis surgery can be tricky so make sure your surgeon does this operation frequently.
+2
Ptosis
The higher position of your left upper eyelid crease is very suggestive of ptosis. One of the most common findings in ptosis is elevation of the lid crease. In many cases, ptosis is bilateral. If the left eye alone is corrected, there is potential for the ptosis in the right eye to be unmasked. I would recommend an ASOPRS trained occuloplastic surgeon.
+1
Eyelid Ptosis or Extra Skin
If one has eyelid ptosis, one has drooping of eyelids below the limbus of the eyelid normally within 2mm. If you have true eyelid ptosis which droops down to your upper or middle then you should have both of them corrected simultaneously for an optimal result. These are completely different operative procedures.
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You may have ptosis of the right eyebrow
From looking at your picture, it seems to me that you may have asymmetry of your upper eyelids due to unilateral ptosis of the right eyebrow. I do see drooping of the right upper eyelid compared to the left. However, if you should lift the right eyebrow, and look again, both upper eyelids may look more symmetrical. That is something that you should ask your doctor.
+1
Ptosis
You have a very slight assymetry between the eyes. Asymmetry is the rule rather than the exception in most cases: Your right brow is silghtly lower, the left lid is borderline ptotic, ie it covers just a hair more of the upper part if the iris than the right lid and has a higher crease. It is up to you and the surgeon to decide to what degree you would like these corrected.
+1
Eyelid ptosis or extra skin
Your picture is not head on but taken from your upper left side down.
From this angle you demonstrate a normal eye asymmetry but, in my opinion, you do have mild ptosis of your left upper lid. I cannot tell from this picture if the upper eyelid creases are at the same level. A higher crease on the left than the right would further suggest a mechanical (rather than neuromuscular) cause for the ptosis.
As regards your consultation, I would keep your initial comments brief and let the surgeon...
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+1
Orbital dystopia
Eye asymmetry is very common. This can be the result of different orbital bony shapes, volumes, eyeball size, etc.. This is normal. The eyelid creases can be different as a result. Without a formal exam it is difficult to offer specific advice.
+1
Droopy Eyelid and Ptosis?
It is difficult to tell for sure from one picture. However, I do not think that you have ptosis. One way to tell is to measure the distance from the light reflex on your eye to the edge of the upper eyelid. It appears to me that the distance is the same on both sides.
You do have some facial asymmetry (like most people). The left upper lid is more hollow than the right. That makes the crease look higher and the lid look lower.
Judging from the picture it may be difficult to make...
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+1
Droopy eyelids
The position of the eyelid margin of the left upper lid is lower as compared to the right upper lid. This is termed ptosis (or blepharoptosis). There are different varieties of ptosis with different causes. Luckily, these are often corrected with the appropriate procedure.
With a history of ptosis on the other lid, you should see an oculofacial plastic surgeon who can evaluate your ptosis, rule out rare and serious causes of ptosis, and help you to find a solution.
Rochester Oculoplastic Surgeon
+1
You have ptosis
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.
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