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Asymmetry in Lips and Eyes? (photo)

My right eye and right lip sit lower than on the left side. It has become more pronounced with time. I think vision in my right eye has gotten worse over the past 6 months at around the same time, so perhaps the problem is a lazy eye. Is there any way I can correct the right half of my face? I'm not sure if it is a problem with a lazy eye, the muscles or my bone structure. I think my lips have always been uneven, and my eyes too - but never this pronounced.

Doctor Answers (3)

Work up Suggested

+1

After looking at your picutre upclose, I think you see a physician that can do some direct neurological nerve testing, if this has always been the case (looking at past photo's) then some difference can be addressed with injectables.


Atlanta Facial Plastic Surgeon

Asymmetry in Lips and Eyes?

+1

Yes I see a very obvious asymmetry. Best to compare to younger photos. If a recent occurrence than seek full work up and testing to check for a medical/nerve/genetic issues. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Not The Result Of A Lazy Eye

+1

You do demonstrate right upper eyelid ptosis.  It is hard to tell if the right eye is more sunken than the left.  A personal consultation to assess this question would provide an answer.  There is a well describe chronic sinus problem that can cause slow changes in the eye socket called silent sinus syndrome.  What happens is the sinus opening closes due to chronic sinus inflammation or trauma.  The negative pressure in the sinus slowly causes the boney orbital floor to bow down making it look like the eye is shrinking.  Do you have this?  You appearance is not really consistent with this but an examination look for what is called enophthalmus and appropriate imaging studies may be required to answer these questions.  I suggest you see an oculoplastic surgeon or a otolaryngologist to answer this question. 

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 16 reviews

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