My eyes have started to become uneven, as a woman it really affect my self confidence. I Don't know if it's because of a poor botox or it because of the M.S. I'm Willing to do whatever it takes to correct it. I Read the other article about the same issue; I thought my picture would explain more.
Answer: Further diagnosis is needed because it is likely thyroid eye disease/Graves' disease (which is related to MS) I’m a board certified cosmetic surgeon with background training in ophthalmology or eye surgery, plus oculoplastic surgery of the eyelid, orbits and lacrimal system. From your photo, it appears that your right eye is more prominent and becoming a little wider compared to the left eye. My concern is whether or not you have thyroid-related immune orbitopathy otherwise referred to as Graves' Disease or thyroid eye disease. Graves' Disease/thyroid eye disease is something that I treat a lot. This has to do is with an antibody, and the fact that you have MS which falls in the autoimmune category means that there is a possibility it is an immune-related issue. Before you consider any kind of cosmetic procedures, I suggest that you see first your medical doctor as well as an ophthalmologist and even an endocrinologist to determine what is going on with your thyroid, in any addition to any ophthalmic issues. You may also need imaging studies. You cannot pursue any cosmetic procedure given that there is a shift and change in your appearance. Unfortunately, I can’t say what degree of change you have because you submitted a single photo. If you submitted a photo of you 5 years ago, a year ago, and this photo so a clear change is seen, it would more sense. The fact that there’s a real change in the eyes that’s not typical or age-related, it’s important to get the medical work-up first. We’ve treated a lot of thyroid eye disease and we’ve been able to help people in their inflammatory stage. We then do definitive surgery to help with issues related to eyelid retraction where the eyes are too open. We even do surgery behind the eyes to get the eyeball to push inward. At this point, it’s more important that you get yourself properly diagnosed and get proper medical management before you do something surgically. When it comes to thyroid eye disease, we typically wait 6 months to a year after the eye position has been stabilized before we do any kind of surgery. I hope that was helpful, I wish yu the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
Helpful 1 person found this helpful
Book a consultation
CONTACT NOW Answer: Further diagnosis is needed because it is likely thyroid eye disease/Graves' disease (which is related to MS) I’m a board certified cosmetic surgeon with background training in ophthalmology or eye surgery, plus oculoplastic surgery of the eyelid, orbits and lacrimal system. From your photo, it appears that your right eye is more prominent and becoming a little wider compared to the left eye. My concern is whether or not you have thyroid-related immune orbitopathy otherwise referred to as Graves' Disease or thyroid eye disease. Graves' Disease/thyroid eye disease is something that I treat a lot. This has to do is with an antibody, and the fact that you have MS which falls in the autoimmune category means that there is a possibility it is an immune-related issue. Before you consider any kind of cosmetic procedures, I suggest that you see first your medical doctor as well as an ophthalmologist and even an endocrinologist to determine what is going on with your thyroid, in any addition to any ophthalmic issues. You may also need imaging studies. You cannot pursue any cosmetic procedure given that there is a shift and change in your appearance. Unfortunately, I can’t say what degree of change you have because you submitted a single photo. If you submitted a photo of you 5 years ago, a year ago, and this photo so a clear change is seen, it would more sense. The fact that there’s a real change in the eyes that’s not typical or age-related, it’s important to get the medical work-up first. We’ve treated a lot of thyroid eye disease and we’ve been able to help people in their inflammatory stage. We then do definitive surgery to help with issues related to eyelid retraction where the eyes are too open. We even do surgery behind the eyes to get the eyeball to push inward. At this point, it’s more important that you get yourself properly diagnosed and get proper medical management before you do something surgically. When it comes to thyroid eye disease, we typically wait 6 months to a year after the eye position has been stabilized before we do any kind of surgery. I hope that was helpful, I wish yu the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
Helpful 1 person found this helpful
Book a consultation
CONTACT NOW March 16, 2015
Answer: Left upper eyelid ptosis Your left eye appears to have ptosis. Ptosis may arise from several different sources, one of which may be Botox. Diffusion of a neurotoxin like Botox to the levator muscle can result in the upper lid not lifting symmetrically. This is likely the source of your problem if it has occurred within a week of Botox to the glabella. This can be partially corrected with an eye drop called Apraclonidine. Contact your Botox provider for a prescription.If this has developed gradually or not in temporal relation to administration of Botox then you will need to be evaluated by a physician to differentiate the other potential contributing etiologies.
Helpful
March 16, 2015
Answer: Left upper eyelid ptosis Your left eye appears to have ptosis. Ptosis may arise from several different sources, one of which may be Botox. Diffusion of a neurotoxin like Botox to the levator muscle can result in the upper lid not lifting symmetrically. This is likely the source of your problem if it has occurred within a week of Botox to the glabella. This can be partially corrected with an eye drop called Apraclonidine. Contact your Botox provider for a prescription.If this has developed gradually or not in temporal relation to administration of Botox then you will need to be evaluated by a physician to differentiate the other potential contributing etiologies.
Helpful
March 31, 2015
Answer: Uneven eyes Dear sanaz13, It does appear from the photograph you have submitted that your left upper eyelid is exhibiting what is called eyelid ptosis or eyelid droop. This can be a hereditary condition or developmental. There can be a traumatic separation of the muscle that elevates the lid of the eye or from neurologic conditions such as multiple sclerosis (you did mention MS). Botox is probably the most common cause as diffusion of the Botox, which is a muscle weakening chemical over the edge of the eyebrow on to the upper lid can lead to a lid droop.Fortunately, this is a self-limiting process and should resolve over the next 3 to 16 weeks. Topical drops can help open the eye, but you should visit your Botox physician to rule out Botox as a cause of this concern. If it persists following the Botox wearing off then you may need to visit a plastic surgeon that focuses on eyelid ptosis repair. One such surgeon is Dr. Derek Ford on Avenue Road who can provide expertise in this area, as well as Dr. Edsel Ing at Sunnybrook Hospital. With patience and time this eyelid asymmetry should improve especially if the primary cause is Botox. Perhaps seeking another Botox provider if you’ve lost confidence in your first Botox provider would be warranted although levator ptosis can happen even in the hands of the most experienced and expert injectors. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful
March 31, 2015
Answer: Uneven eyes Dear sanaz13, It does appear from the photograph you have submitted that your left upper eyelid is exhibiting what is called eyelid ptosis or eyelid droop. This can be a hereditary condition or developmental. There can be a traumatic separation of the muscle that elevates the lid of the eye or from neurologic conditions such as multiple sclerosis (you did mention MS). Botox is probably the most common cause as diffusion of the Botox, which is a muscle weakening chemical over the edge of the eyebrow on to the upper lid can lead to a lid droop.Fortunately, this is a self-limiting process and should resolve over the next 3 to 16 weeks. Topical drops can help open the eye, but you should visit your Botox physician to rule out Botox as a cause of this concern. If it persists following the Botox wearing off then you may need to visit a plastic surgeon that focuses on eyelid ptosis repair. One such surgeon is Dr. Derek Ford on Avenue Road who can provide expertise in this area, as well as Dr. Edsel Ing at Sunnybrook Hospital. With patience and time this eyelid asymmetry should improve especially if the primary cause is Botox. Perhaps seeking another Botox provider if you’ve lost confidence in your first Botox provider would be warranted although levator ptosis can happen even in the hands of the most experienced and expert injectors. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful
FIND THE RIGHT
TREATMENT FOR YOU