I am going to see an eye surgeon in two weeks but I wanted to have an idea what to ask before I go. I am 26, I was told by my mother that my right eye drooped when I was younger. Now it appears to be my left eye, but when I pull the right eye down a bit and it folds over the eye brow, it appears to be lower then the left eye. Is my problem a ptosis or extra skin? Should I mention this to my doctor or see what he says first? It is more noticeable when I am tired.
Answer: Asymmetric eyes - orbital dystopia Often, asymmetry of the eyes is not due to ptosis, but due to orbital dystopia. That is a different "set" of the eyeball within the bone. One eyeball is literally deeper in the bone than the other. In your case, it appears that the right eye "bulges" more. This causes a chain reaction. Often lower eyelid fat is more visible, there is more white showing below the pigmented portion of the eye, and the eye appears "bigger". The lid creases also appear different, since there is a different shaped eyeball pushing on them from behind. This circumstance cannot, under most circumstances be corrected. It can only be camouflaged, or be made to appear less prominent. I personally do not believe you have ptosis alone, but definitely appear to have one eye that is deeper set than the other. There are many methods for camouflaging eye asymmetry, from asymmetric eyelid lifts to ptosis repairs to asymmetric browlifts to an asymmetrically performed superficial cheeklift, minimal incision (USIC). A patient must first understand that these are all not curative procedures, but designed to camouflage the orbital dystopia. The attached paper shows three patients who had deliberate alteration of eye shape to reduce (camouflage) the appearance of a prominent globe.
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CONTACT NOW Answer: Asymmetric eyes - orbital dystopia Often, asymmetry of the eyes is not due to ptosis, but due to orbital dystopia. That is a different "set" of the eyeball within the bone. One eyeball is literally deeper in the bone than the other. In your case, it appears that the right eye "bulges" more. This causes a chain reaction. Often lower eyelid fat is more visible, there is more white showing below the pigmented portion of the eye, and the eye appears "bigger". The lid creases also appear different, since there is a different shaped eyeball pushing on them from behind. This circumstance cannot, under most circumstances be corrected. It can only be camouflaged, or be made to appear less prominent. I personally do not believe you have ptosis alone, but definitely appear to have one eye that is deeper set than the other. There are many methods for camouflaging eye asymmetry, from asymmetric eyelid lifts to ptosis repairs to asymmetric browlifts to an asymmetrically performed superficial cheeklift, minimal incision (USIC). A patient must first understand that these are all not curative procedures, but designed to camouflage the orbital dystopia. The attached paper shows three patients who had deliberate alteration of eye shape to reduce (camouflage) the appearance of a prominent globe.
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CONTACT NOW Answer: Ptosis From your photograph it appears that you have ptosis (drooping) of the left upper eyelid. An oculoplastic surgeon could perform a relatively fast procedure to elevate the lid to match your other eye. Healing time is a couple of weeks and most patients do not bruise significantly.
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CONTACT NOW Answer: Ptosis From your photograph it appears that you have ptosis (drooping) of the left upper eyelid. An oculoplastic surgeon could perform a relatively fast procedure to elevate the lid to match your other eye. Healing time is a couple of weeks and most patients do not bruise significantly.
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July 1, 2017
Answer: Asymmetry of Underlying Facial Bones Your pictures suggest that your primary problem is related to asymmetry of your underlying facial bones. In your case, you’re right superior orbital rim sets at a lower level than the opposite side. This is commonly referred to as “orbital dystopia”. When this occurs, the eyelid soft tissue is secondarily effected with resultant eyelid asymmetry. I would not recommend treatment for this type of mild deformity because of the risk benefit ratio. When the potential for improvement relative to the complication rate is minimal this is not a risk worth taking. There are a variety of causes of orbital asymmetry. It may be related to the boney orbit, the eyelid or the eyebrow. In most cases of mild asymmetry there’s some asymmetry of the bones surrounding the eye. This cannot be treated without major surgery. If you continue to have concerns about your asymmetry it’s appropriate to consult a board certified plastic surgeon.
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Answer: Asymmetry of Underlying Facial Bones Your pictures suggest that your primary problem is related to asymmetry of your underlying facial bones. In your case, you’re right superior orbital rim sets at a lower level than the opposite side. This is commonly referred to as “orbital dystopia”. When this occurs, the eyelid soft tissue is secondarily effected with resultant eyelid asymmetry. I would not recommend treatment for this type of mild deformity because of the risk benefit ratio. When the potential for improvement relative to the complication rate is minimal this is not a risk worth taking. There are a variety of causes of orbital asymmetry. It may be related to the boney orbit, the eyelid or the eyebrow. In most cases of mild asymmetry there’s some asymmetry of the bones surrounding the eye. This cannot be treated without major surgery. If you continue to have concerns about your asymmetry it’s appropriate to consult a board certified plastic surgeon.
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July 31, 2012
Answer: Eyelid Ptosis or Extra Skin
If one has eyelid ptosis, one has drooping of eyelids below the limbus of the eyelid normally within 2mm. If you have true eyelid ptosis which droops down to your upper or middle then you should have both of them corrected simultaneously for an optimal result. These are completely different operative procedures.
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Answer: Eyelid Ptosis or Extra Skin
If one has eyelid ptosis, one has drooping of eyelids below the limbus of the eyelid normally within 2mm. If you have true eyelid ptosis which droops down to your upper or middle then you should have both of them corrected simultaneously for an optimal result. These are completely different operative procedures.
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March 2, 2014
Answer: Asymmetry on both upper lids There is asymmetry on both upper lids. The eyelid crease on the left eye is higher than the right, and this is what you were born with. there also appears to be a mild amount of ptosis in the left eyelid. Asymmetrical upper eyelid surgery can be performed more so on the right eyelid than the left to make them more symmetrical.
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Answer: Asymmetry on both upper lids There is asymmetry on both upper lids. The eyelid crease on the left eye is higher than the right, and this is what you were born with. there also appears to be a mild amount of ptosis in the left eyelid. Asymmetrical upper eyelid surgery can be performed more so on the right eyelid than the left to make them more symmetrical.
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