Jonathan Pargament, MD

Thanks for the great question and photos. Everyone has some degree of facial asymmetry. As you mentioned in your question, you're noticing some mild brow asymmetry with your right sitting slightly lower than your left. I do not think, from your photos, that you have a lazy eye but that could be better assessed by a consultation with a skilled oculoplastic surgeon. Small degrees of brow asymmetry can sometimes be addressed with botox or with conservative surgical intervention. Good luck!

Hi melaniejennie, thanks for posting this question and photos. I see in the pics that there is a wide variation between photos in your amount of eyelid opening. Some photos you appear to have mild ptosis and some photos your eyes appear perfectly wide open. In these situations, I would recommend an in-person evaluation with an oculoplastic surgeon in your area. Good luck!

Hi sjps89, thanks for the question. Unfortunately, the photo you posted doesn't actually show your eyes so it is difficult to making suggestions. Most commonly, ptosis surgery is performed bilaterally to achieve symmetry. However, it is possible that you may only need 1 sided surgery depending on the cause and severity of your ptosis. Thanks!

Hi there, thanks for posting this question. I would be very hesitant to pursue any surgery that would give you a "cat eye" appearance. Since you are Asian, your lateral canthal angle (outer corner) likely already sits in a higher position than the inner corner. We call this a "positive canthal angle." I suspect that the plastic surgeon you previously saw did not recommend raising the outer corner any further because it would dramatically alter your appearance, in a negative way. Please trust our advice. 

I'm sorry you're struggling with this Botox-related issue. Occasionally, if the Botox weakens the brow muscle more on one side than the other, it can cause the brow to sit slightly lower, which can weigh the upper lid down. I can appreciate in your photo that your left eyebrow sits a few millimeters lower and this is causing your upper lid on that side to sit lower. As the botox wears off, the symmetry should return. I would give it 6 months before you attempt any interventions to improve on the symmetry.