Thana Chueabundit, MD

Upon analyzing the photos you provided:

1. Eyelid Ptosis: I noticed an asymmetrical eyelid ptosis, more evident on the left side. To address this, a Levator Advancement Procedure would be ideal. This procedure involves adjusting the levator muscle, which is responsible for lifting the eyelid. When done correctly, it can effectively correct the ptosis, giving your eyes a more open and symmetrical appearance.

2. Brow Ptosis: While you've mentioned being comfortable with a slightly lower brow position, the observed symmetrical brow ptosis can benefit from an Endoscopic Brow Lift. This minimally invasive procedure lifts the brows to a more natural position, contributing to reducing the excess skin over the eyelids and achieving a refreshed, youthful appearance.

3. Facial Asymmetry: Your photos also highlight a facial asymmetry that often requires a multifaceted approach for correction. Addressing the eyelid and brow ptosis will undoubtedly contribute to balancing the face, but a thorough in-person examination would allow for more specific recommendations tailored to your unique facial structure.

While upper eyelid surgery (blepharoplasty) might address the immediate concern of excess skin, considering the ptosis in both the eyelid and the brow, along with the facial asymmetry, a combination approach would yield the best and most harmonious results.

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