What Kind of Surgeon Should I Go to for This?

asked 11 months ago by jessicahope in Denver, CO
Latest answer by Vivek Bansal, MD
Question viewed 276 times
Tags: injury, non invasive, options

About 6 years ago I was hit with a baseball on my right eye. Now it is a lot puffier and obviously uneven compared to the left eye. What would be the least invasive surgery to correct this? Also, what kind of surgeon would specialize in this? Thank you!

10 answers to What Kind of Surgeon Should I Go to for This?

Correcting Differences is Possible!

Your photo shows a small difference in the upper eyelids which does not absolutely require surgery (many people naturally have this amount of asymmetry): it is not harmful. If you wish improvement, a Blepharoplasty of the right upper eyelid can make the two eyelids more even. The photo is really not a substitute for a proper examination in consultation with someone with adequate training and experience with eyelid surgery. Seek a Board-Certified specialist in either... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Uneven eyelids

Hi Jessica, Your upper lid fold do look uneven, so that you see more of the lid platform (where you place eye shadow) on the left. We did a study at Brown University that showed a high percentage of people carry one brow higher (in this case your left). This asymmetric brow position can influence the appearance of uneven skin on the upper lids, and is often something missed by many plastic surgeons. Performing uneven upper lid surgery can lead to trouble afterwards, so... more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Natural eyelid asymmetry is common

Most of us will have a dominant eye which is slightly larger than the other, and lid asymmetry is also more frequent that people expect. You lids look pleasant and natural, though if you were very motivated the lid fold could be raised slightly on the lower side to even out your look. The technique is like that of Asian blepharoplasty to establish a lid fold. A good plastic surgeon certified by the American Board of Plastic Surgery should be able to help. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Eyelid asymmetry after trauma

Jessica, Your photo does show a difference in appearance between the eyelids. Some people have a natural asymmetry and if you have a consultation with an oculoplastic specialist it would be helpful to bring photos taken before the injury to rule out a preexisting difference. If your previous injury caused a fracture to the bones around the eye (which is not unusual after impact with a baseball), the eye and surrounding fat can sink backward over time, falling into the fracture.... more

Brett S. Kotlus, MD
Rochester Oculoplastic Surgeon

Eyelid Surgery

Board Certified Plastic Surgeon familiar with facial fractures are the place to start. Sometimes, involving another specialty is needed if inner orbital issues are present. They can direct you to an Opthamologist or you can see an Opthamologist first and then see a Board Certified Plastic Surgeon. Perhaps, the both of them can develop a plan for you.

Vivek Bansal, MD
Danville Plastic Surgeon

Unequal eyes

Please see an oculoplastic surgeon for evaluation and management suggestions. Your findings are very subtle but truly require specialized care. You can find the name of a qualified surgeon if you Google asoprs.org - ASOPRS is the society which accredits oculoplastic surgeons. Best Dr. Massry

Guy Massry, MD
Los Angeles Oculoplastic Surgeon

Eye looks smaller after trauma

From the picture, your right eye appears smaller and following trauma to the eye...it's most important to rule out an orbital floor fracture. You should see an ENT surgeon or opthalmologist for evaluation and possible Xray or CT to rule this out.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Eyelid asymmetry after trauma

Jessica, An examination would be necessary to fully evaluate your situation. From your photo, it looks like you would benefit from a blepharoplasty of the right upper eyelid to even out your upper lid skin folds. I recommend you see an oculoplastic surgeon; you can visit the ASOPRS website to find one near you.

Michael McCracken, MD
Boulder Oculoplastic Surgeon

You have mild ptosis

Your pictures show mild ptosis and you eyelids compensation causing the difference. If you get just eye lid surgery without correction of the ptosis,your eyes will look even more uneven. Personal examination would help. I would suggest to see ophthalmologist to start to evaluate your vision and visual fields and then a board certified plastic surgeon to fix to ptosis and also even out your epicanthal folds.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Eyelid surgery San Diego

Not sure this is related to the baseball impact, although it certainly may be. See a board certified plastic surgeon, oculoplastic surgeon, or several surgeons for opinions before choosing a procedure. Your supra tarsal or orbito-palpebral crease on the right could be elevated slightly to symmetrize more with the left (provided you like the left), and right upper eyelid fat could be removed or repositioned as well, all under local anesthesia in the office.