Why is one of my eyelids bigger than the other? Is there something wrong? How can I get this fixed? (Photo)

My right eyelid seems "double" compare to my right one, that seems perfectly normal. It wasn't like when I was small. I barely noticed it when I was 16. Its rarely that when I blink it doesnt create that sort of form (pic ). That same eye sometime get tired. How can I get this fix, will I need surgery, can I fix it myself? I also wear glasses if that helps.

Doctor Answers 9

Eyelid Ptosis And Asymmetry

Your pictures clearly demonstrate bilateral eyelid ptosis which is worse on the right than on the left side. This occurs because the muscles that elevate the eyelid becomes weakened or detached from their insertion into the eyelid. When this happens, the eyelid develops the droopy appearance that's noted in your pictures. Eyelid ptosis can cause visual field obstruction and significant functional impairment. For this reason, eyelid ptosis should be repaired whenever possible.

Eyelid ptosis can be repaired under general or local anesthesia. The procedure is relatively simple and associated with high success rates.

If you're concerned about eyelid ptosis, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Why is one of my eyelids bigger than the other? Is there something wrong? How can I get this fixed?

You do have eyelid asymmetry.It would also help to see your complete face. Surgery can be done to even your eyelid heights. Please see an Oculoplastic surgeon.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

You have muscle weakness (ptosis) in your right eye

As the other surgeons have pointed out, you have a weakness in the muscle that opens the right eye. With adjustment, your crease size should level out and any wrinkles you may have over the right eye will improve (although the brow will drop a bit). In many cases, it's best to do both eyes to maximize symmetry.

Charles S. Lee, MD
Beverly Hills Plastic Surgeon
4.6 out of 5 stars 74 reviews

Eyelid ptosis. One eyelid is bigger than the other

Based on this one photograph, your right eye seems to have a mild ptosis (or droopiness).  One sided ptosis, as you have, is usually caused by a levator aponeurosis dehiscence - a tiny piece of tissue that normally helps to hold the eyelid open has weakened or come detached from the cartilage of the eyelid (tarsal plate).  If this is the problem, we can perform surgery to correct the dehiscence and restore your normal eyelid appearance.  There are other forms and causes of ptosis, however, which is why an examination and full history by a facial plastic surgeon, occuloplastic surgeon, or plastic surgeon is key in determining if further testing is required and what surgery should be performed.    

Parker A. Velargo, MD
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews

One of my eyelids is bigger

It appears that you have some degree of ptosis of the right upper eyelid. It can happen from the muscle that is normally attached to the cartilage of the upper lid loosening or stretching. I think you will need surgery to correct it, it is not anything you can fix on your own.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.7 out of 5 stars 21 reviews

Bilateral upper eyelid ptosis with right eye dominance.

Both eyelids are heavy or ptotic.  However, you make extra effort to open the right eye.  This means that you are activating the right brow and frontalis muscle more than the left side.  This is why it does not look like you have a fold on the right side.  Repairing the eyelid ptosis will allow the brow to relax down and will restore the right upper eyelid fold.  This generally is best accomplished with an anterior levator ptosis procedure even if you respond to the neosynephirine drop test. Study my website for examples of how this type of repair is done.  Glasses help hide things.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Eyelid asymmetry

Zoe3193, Almost every patient I see has asymmetry of a part of their face; many times including the eyelid area and brow. From your photos I can not tell if your brows are symmetric and/or well placed. That would be the place to start. See several experience facial plastic specialists who have good photos and experience. See my site as a good example. Do your homework and you will be allright! Good luck!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.8 out of 5 stars 44 reviews

Why is one of my eyelids bigger than the other? Is there something wrong? How can I get this fixed?

The double fold of the right upper eyelid may indicate a levator dehiscence which means the tendon that lifts your upper lid may have partially pulled out or the muscle is weak. See an occuloplastic surgeon or plastic surgeon who speializes in eyelid surgery for an exam and diagnosis. A repair is possible

Many Factors Contribute to Eyelid Asymmetry

In your photograph, it appears that your right upper eyelid is taller than your left. There also appears to be a muscle imbalance with your right eye out of alignment with your left.
It would be helpful to see your forehead, as well. If you are raising your right brow more than your left, that could account for the eyelid asymmetry.
You mention that your eye fatigues: it is important to know exactly what that means. Does the eyelid droop more at the end of the day?
These many factors are best sorted out in a proper in-office consultation and evaluation to determine the causes of your eyelid asymmetry and then consider treatment options.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.6 out of 5 stars 31 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.