What is the Best Way to Fix Uneven Eyelids? Doctor Answers, Tips
Asian Eyelid Surgery: Q&A
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What is the Best Way to Fix Uneven Eyelids?

I am an asian male whose right eye has no crease, while my left eye has quite a high crease. It looks very unbalanced when looked up close. I have noticed this problem since I was a little kid. Is it possible to make it uneven?

6 Doctor Answers | Asked by 448538anon in Canada
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Ptosis(droopy eyelid) is a common cause of uneven eyelids

Your description of your eyelids indicate that your problem may be more than just the asymmetry of eyelid creases. You may possibly have ptosis related problems causing uneven eyelids. Fortunately, there are procedures to significantly improve this condition though they can be very challenging at times.
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Uneven eyelids in an Asian male

This is a very common thing that I see my clinic even then. Probably a quarter of the procedures that are performed are to create creases that will match the crease on the opposing side. This performed under local anesthesia with about seven days of down time and sutures that will need to be removed. If you had this problem since your child it's most likely due to a congenital weakness of the levator muscle and one eyelid or a poor attachment of the levator tendon to the edge of your eyelid.... more
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Uneven crease in an Asian eyelid

The most common causes for an very asymmetric crease is uneven eyelid muscle strength on the two eyes. A double eyelid operation can correct this but you need a careful preoperative exam to prevent any surprises as after surgery.

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Fixing uneven eyelids

Uneven eyelids are a common problem in both Caucasian and Asian eyelids. It is rare to ever see perfect symmetry in the eyelids of any patient. The degree of symmetry is variable depending upon the individual. Asymmetrical surgery can be performed to make the eyelids look more symmetrical by placing the incision in the desired location to create the crease either higher or lower and then removing excess fat and skin on the asymmetrical side.
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No photo. So an educated guess is needed.

There is no replacement for an actual consultation. It is important to find a surgeon who actually is accomplished in performing this surgery. Generally this will be someone who devotes a good deal of their practice to performing eyelid and eyelid reconstructive surgery. The surgeon's ethnic identity is less important than their skills, training, and experience. What you are describing is a situation where one eyelid has a crease and a double fold but the fold is... more
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Asian Blepharoplasty

Yes, it is not uncommon to have asymmetry between the eyelid creases. This can be fixed with an Asian Blepharoplasty to create a crease on the right side to match that on the left or vice versa. This is a procedure that can be done while you are awake with local anesthesia and you can go home right after the procedure.
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