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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?

Doctor Answers (12)

Eyelid asymmetry

+2

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 be associated with other issues such as thyroid abnormalities.  It is also possible that the left eye is more prominent, either congenitally or due to an orbital process.  Certainly there are other possibilities as well.

I suggest you see an oculofacial plastic surgeon to further identify the underlying process and how best to treat it.  Try the ASOPRS website to find a physician.


Philadelphia Oculoplastic Surgeon
5.0 out of 5 stars 13 reviews

Asymmetric Eyes Are Extremely Common

+1

Asymmetry of the eyes and orbit are extremely common and when looked at closely, most people have some asymmetry.  In your case, asymmetry is present although it’s relatively minor.

I would not recommend treatment for this type of mild deformity because of the risk benefit ratio.  When the potential for improvement relative to the complication rate is minimal, this is not a risk worth taking.

There are a variety of causes of orbital asymmetry.  It may be related to the boney orbit, the eyelid, or the brow itself.  In most cases of mild asymmetry, there is some asymmetry of the bones surrounding the eye.  This cannot be treated without major surgery.  If you continue to have concerns about your asymmetry, it would be appropriate to consult a board certified plastic surgeon.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 78 reviews

eyelid asymmetry

+1
 The eyelid asymmetry is due to the asymmetrical eyebrow position, where one eyebrow is lower than the other. When this occurs the eyelids will have to be asymmetric.
 To repair this asymmetry, consideration for either a browlift to make the eyebrows symmetrical,or a one-sided upper blepharoplasty. If you perform the upper blepharoplasty,  the eyebrows will still be asymmetric. An in person examination/consultation is required to make any decisions.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

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

+1

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 variation but it is best to get an expert opinion

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 34 reviews

Asymmetry of the Eyelids and Brows

+1

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 them for an evaluation. 

Hope this helps and good luck.

Christopher I. Zoumalan, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 57 reviews

Eye asymmetry

+1

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

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Eyes not the same

+1

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 procedure are worth the benefit that nobody else will notice.  For many of our patients, this is the tipping point to decide.

Randy Wong, MD
Honolulu Plastic Surgeon
5.0 out of 5 stars 17 reviews

Asymmetry of eyes

+1

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.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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

+1

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 compensatory brow elevation.  An actual consultation with an oculoplastic surgeon will establish what is going one.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a website at asoprs.org that can help you find a highly qualified oculoplastic surgeon near where you live.

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

Why Are my Eyes Different Sizes?

+1

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.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

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.