From the photo, it looks like you might have ptosis of the left upper eyelid, and possibly also globe dystopia (left eyeball slightly lower than right eyeball). There are options for you, and an in-person evaluation would be really important.

The unevenness of my eyes drives me crazy I've had a brow lift with Botox many times and it does slightly improve the appearance but I feel my one eye is so much heavier then the other. Would eyelid surgery correct this or a brow lift to the one side?

How can I fix the unevenness of my eyes? (Photo)

Eyelid Surgery

Hello. The lower eyelid fat pads can be repositioned or debulked (or both) to correct a complication from prior surgery. This needs to be weighed against the risk of complications. An in-person evaluation would be essential.

I had lower bleph with fat repositioning. The results are pretty devastating. I now know I was not a candidate for this surgery. I am very hollow under my lash line and to the sides of my eyes. The fat seems to be placed below my orbital bone resulting in a shelf. I have no natural under eye contour. I just want the fat moved back. Even if it isn't perfect.

When you have lower bleph with fat repositioning, can fat be moved back up? I don't care if it doesn't go back perfectly

Hello. It appears that you have asymmetric orbits. Without a facial photo, it's hard for me to truly assess, but you may actually have a hypoplastic sinus on the right. Orbital decompression can be used to move the globe, but it can cause complications including strabismus. It's something that should be discussed thoroughly during an in-person evaluation.

Will Orbital decompression help me? My left eye sits higher than my right eye. It also bulges out further. This is due to my left eye socket being smaller and not stretching as far down as my right. Is it possible to get a orbital decompression procedure that focuses on expanding the bottom of my left eye socket?

Is it possible to get a orbital decompression procedure that focuses on expanding the bottom of my left eye socket? (Photo)

Hello. Your lower eyelid fat pads herniate, which is made more obvious by having prominent eyes. A filler can only cause more problems. You might benefit from a combination of eyelid fat debulking and repositioning, +/- midface lift to smoothen the eyelid/cheek transition.

I have eye bags for my whole life even when I was a baby and it bothers me so much.. At first I wanted to get a tear trough filler but then thought I wouldn't be a good candidate cause I have puffiness but at the same time I can't afford doing lower blepharoplasty surgery right now so I want to know if tear trough filler would help with my case right now.

Should I do tear trough filler or lower blepharoplasty? (Photo)

From your description and photo, it appears that you have mild lower eyelid retraction. There are many causes for that, including congenital. The lower eyelids can be elevated, but it will make your eyes "smaller" by definition. This is really something that needs to be discussed during an in-person evaluation. It's non-trivial.

I have droopy lower eyelid and deep tear troughs since a long time ago,do i have eyelid ptosis ,if yes what is the way forward I do not want small eyes though.i am 21 yrs old if that has to factor in Thank you!

Droopy lower eyelid. What is the way forward for me? (Photo)

Alon Kahana, MD, PhD

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