Eyelid Surgery: Q&A

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Why Are my Eyes Different Sizes?

I'm in my late 30s but I only started noticing a few years ago that my eyes are shaped differently and uneven.

Looking back at old photos I guess it has always been there, but it seems to be getting worse. People around me tell me it's unnoticeable but I think they are just being nice. What is the cause and is there a fix?

10 Doctor Answers | Asked by Michael M. in Haddonfield, IL
+2

Eyelid asymmetry

Looking at your photo, there appear to be a couple of differences between the two sides.  First of all, the left brow is elevated compared to the right.  Often this is simply a physiologic/normal difference, but it can suggest the presence of an underlying issue such as a droopy or ptotic left upper lid.  In this case you use the brow to elevate the lid to a more normal position.  There is a slight retraction of the left upper lid that may be related to the brow, or might... more
+1

Asymetry of the two sides of the face are common and can cause uneven eyes

Most everyone has a slight asymmetry of the face most often caused by unequal bony development between the two sides. The orbit or bony socket that holds the eyeball may be the cause of your asymmetry and if this is the cause it would be difficult to correct. Other causes such as ptosis or drooping eye can cause asymmetry as well. Your left eyebrow is more elevated, a very common asymmetry. See an Ophthalmologist for a formal eye exam and consultation. Most likely this is a normal... more
+1

Asymmetry of the Eyelids and Brows

Dear Michael, There are some differences this photo shows between your eybrows and and eyelids.  You seem to be arching your left eyebrow which can often suggest mild left lid ptosis (droopy lid). Other findings such as bony asymmetry, differences in the position of the eyeball (termed enophthalmos) can often result in eyelid and eyebrow asymmetry.  If you would like to get a consultation, I would recommend looking up an oculoplastic surgeon in your area (ASOPRS.org) and visit... more

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+1

Eye asymmetry

Hi, It is normal to be a little asymmetric, most people are.  I would make an appointment and see someone with experience in eyelid surgery.  It may be a little early as you do not have much excess skin.  You may also have a degree of eyelid ptosis (drooping) that you may be holding up by arching your left eyebrow, but it would be impossible to tell without a physical examination. Best, Nima Shemirani
+1

Eyes not the same

You are not alone.  Most people have a slight asymmetry if carefully examined.  You have noticed this recently, yet, your friends know you only by your visage, not your flaws.  Therefore, if they don't notice, then the only one who is bothered by this naturally occuring phenomenon is your gremlin who gets you to focus on it.  Yes, we have lots of tricks and  technology to change this for you, but should we?  Only you can determine if the risks of a... more
+1

Asymmetry of eyes

Your right eyebrow is lower which increases the amount of tissue along the right upper eyelid causing that eye to appear smaller and more rounded.  I've done Browlifts for over 20 years but don't like them in men as they can raise the eyebrows to much leading to a relative feminine appearance to the face IMHO.  If this really bothers you, I wouldn't do more than place a small amount of Botox to weaken the left eyebrow.
+1

It is impossible to make an intelligent statement without a physical examination.

Bob What can be stated for sure from your photo is that the two sides are clearly not the same.  The right upper eyelid sulcus is full and the left hollow. You do manifest a compensatory brow elevation on the right side and it may be that you have latent left upper eyelid ptosis.  Other possibilities include slight enophthalmus, which is a condition where one eye does not project as far forward as the other.  This condition can cause pseudoptosis which may account for the... more
+1

Why Are my Eyes Different Sizes?

Facial asymmetry is present in everybody. But differs from one patient to another. The left side of your face is slightly longer than the right and therefore the left eyebrow appears to be higher than right and the eye also looks wider. You will see this differences in everyone you will come across. Your options are: leave it alone, use a few units of Botox above the left brow to lower your it making the difference noticeable, elevate the right eyebrow surgically. Good luck. more
+1

Eyes different sizes.

The eyes are rarely the same. Your left eyebrow is up adding to the difference. See an experienced surgeon in your area to discuss your options after he sees you in person.
+1

Facial asymmetry

You have bony facial asymmetry, which everyone has to some extent, some more than others. Your right side of the face is smaller than the left side. There are some nonsurgical techniques you can do to camouflage the asymmetry. Dr Taban
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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