Eyelid Surgery before & after photos
73%
439 reviews
Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Eyelid Surgery Cost $4,300 average cost

What Could've Caused my Uneven Eyes?

Over the last few years, my right eye - relative to the horizontal position of the left - seems to have taken a hike down my face. It's started to droop as well. I've been wearing contacts for about 6 years.

My right eyebrow is perched higher than the left, and it's the only eyebrow I can cock - could it be that my right eyebrow muscles have distended due to overexertion, leading to a droopy appearance? This asymmetry is worsened by the fact that both eyes seem to be drooping from the bottom. I'm 20 yrs. old, if at all relevant.

Asked 28 months ago by Peter O Hanrahahanrahan in New York
Sort 6 expert answers by:
+2

Orbital dystopia causes most eye symmetries

Orbital dystopia refers to a difference in the set of the eyeball within the bony frame. We all have it if you look closely. Sometimes the bulgier eye tends to droop more quickly because of the unremitting pressure of the larger globe-like structure (the eyeball) on a weak lower eyelid. In older patients (not you, you don;t need surgery for many years), we can perform a USIC(TM) (ultrashort incision cheeklift) to correct eye shape. There are three nice examples in the paper referenced... more
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+1

Uneven Eyes

As the other surgeons mentioned, every person's right side of the face is different, to a variable degree, than the left side. Sometimes these differences are very subtle, and other times they are striking. It is important for the cosmetic surgeon to make note of these differences when evaluating a patient. Often I find the patient was not aware of these differences, only seeing that one brow was lower, or their nose was crooked, but not seeing the big picture. In some people one eye... more
Yoash R. Enzer, MD
Providence Oculoplastic Surgeon
+1

Eyelid asymmetries are normal

There is asymmetry with the eyelids whereby there is a higher crease on the left side than on the right. Eyelids are always asymmetrical. However, the degree of asymmetry is variable. The lower eyelids are very asymmetrical, with the left one showing more rounding. The asymmetry on the right side and the heaviness can be addressed through a small amount of skin and fat removal to make it look just like the left side.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Asymmetries in the eye are normal but you can do something about it

Asymmetry in the eye area is normal. In fact, we appreciate beauty in an asymmetric way. Our right brains appreciate beauty more than our left and our visual fields are asymmetric. Essentialy, in short, we see someone's right face more when we regard or assess beauty. This has evolutionarily lead to asymmetries in our face based on millions of years of sexual selection. We tend to choose our mates based on how good the right sides of our face look more than what our left sides look.... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+1

Orbital asymmetry

Orgbital asymmetry is the norm rather than the exception. Your eyes look like they are within normal limits. I would recommend nothing in terms of surgery.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Eye asymmetries

First of all, the asymmetries you are pointing out are extremely subtle and well within the normal range. Secondly, all people have some degree of asymmetry. Our faces have been well studied and are not the mirror image from one side to the other. As long as you do not have double vision issues, there really isn't a problem you should try to do anything about here. Try to be less critical of yourself if possible.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.