“Asymmetry After Upper Blepharoplasty (Asian Male)”

I did the surgery to achieve double upper eyelids and bring appearance of both eyes as symmetrical as possible due to one having more fatty tissue than the other.

I am an Asian male and had upper blepharoplasty performed in October of 2009. It has been approximately 11 weeks and the asymmetry that was discernibly apparent from the beginning after post-op is still present albeit to a lesser degree. I understand that there is always going to be some minor asymmetry, however, I believe my situation is quite conspicious from a glance. I have orbital dystopia and, pre-op, my right upper eyelid had more fat/skin so my eyes were never symmetric.

The goal of the surgery was to create the double upper eyelids as well as to get the eyes closer to size for the best symmetry possible and this was all discussed with my doctor. He stated that he performed a slightly different incision on the right upper eyelid versus the left one so I can only suspect this has partly to do with the post-op asymmetry .

I'm looking for a second opinion on how my progress is and if I will need a revision or if it's still too early to tell. I understand 6-12 months is the preferred healing duration but most, if not all, of the swelling has subsided with minor soreness in the muscles still remaining. As you will see, my right eyelid is turning out very well but the left one still has a higher crease and even the eyelashes sprout up higher. Every time I look in the mirror I think of those cars with the pop-up headlights and one of them is broken.

Updated on 29 Jan 2011:
Both my doctor and I were dissatisfied with the outcome of the surgery after letting a year pass for full recovery. The incision on my left eyelid was made too high compared to the right resulting in larger looking fold on the left and 2 distinct looking eyelids. We agreed to perform a revision where he would loosen the incision on the left eyelid to allow more skin to fold down. A month and a half has passed since the revision and the asymmetry is even worse than before. I am displeased with the level of experience and expertise with this doctor. Although he is very professional and courteous, he seems to have trouble with correcting existing asymmetries by compensating accordingly with surgical technique.