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Orbital Assymetry - noticable and within normal limits? (Photos)

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Bryan_LDec 31, 2025

I have stared at myself for too long to have a grasp on how my face and its flaws are perceived, so I would appreciate the utmost honesty, is the Orbital assymetry noticable and are there valid treatment Options? I believe I also have upper eyelid ptosis? I believe this is far more treatable than the orbit itself but it would not fix the assymetry in its entirety

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Dr. Zoran Potparic, MD
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Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 146 Reviews
Answered on Jan 5, 2026
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Zoran Potparic, MD

Based on this photo and without preoperative photos to compare, you seem to have very good result after lower blepharoplasty and fat grafting. Asymmetry is so minimal that can be easily corrected with skillful make up. Good luck.

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Zoran Potparic, MD

Based on these photos it appears that a lateral canthopexy on the “lower” eye would create more symmetry. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

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Zoran Potparic, MD

Based on these very limited photos which do not show entire periorbital area, it does not look like you should expect much of the improvement after lower or upper blepharoplasty. In person consultation is recommended.

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Jeffrey M. Darrow, MD

Thank you for your photo. I believe you should first have your eyelids checked for ptosis to be sure there isn’t an underlying abnormality with your levator muscle. If your muscle insertion and excursion is normal, it appears that an upper blephroplasty would allow you to achieve more symmetry o...

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Gary M. Horndeski, MD

A mid facelift can tighten the skin around the orbits to smooth out some of the contour irregularities. A lower blepharoplasty can be done to transpose fat to hide the tear troughs. Best Wishes, Gary Horndeski, M.D.

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Zoran Potparic, MD

It your case, malar augmentation with implants seem to be a good solution. In the same procedure, which we prefer to do through an inside of the mouth incision, surgeon should release both orbicularis oculi muscle and oblique ligament to diminish tear through deformity. In some cases a small...

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