Why is my right eye lower than my left and how can this be fixed? (Photo)

Question

My right eye seems to be lower than my left...why??? I thought about it and I do sleep on one side of my face alot, is it feasable that the "drag" that I caused on my skin sleeping on the side pulled one side of my face down and made it droopier than the other? is there a treatment that can fix this

A.J. Amadi, MD · Answer

Your sleeping habits have nothing to do with your very normal asymmetry. Most of us have asymmetric faces, some more than others. Your asymmetry is due to underlying skeletal asymmetry, between your right and left orbits (eye sockets): your right orbit is lower than your left. Unfortunately, other than major craniofacial surgery which involves cuts to reposition the bone and is quite invasive with potential side effects and complications, there are no easy fixes. Very few surgeons would want to take this on for aesthetic reasons and the costs would probably be in excess of $100,000 since this would involve surgery in a hospital with many days of inpatient stay, and insurance would not cover the cost.
This is unique to you and should be accepted as such. It is a very natural asymmetry.

Kadir Berat Oyur, MD · Answer

Hi and thank you for your question.
It’s hard to say without an examination, but you might have ptosis of the eyelids, which could be contributing to the asymmetry. To determine what will work best for you, a consultation is necessary.
Hope this helps!

Guray Yesiladali, MD, FEBOPRAS · Answer

Facial asymmetry is extremely common and, in most individuals, reflects natural anatomical variation rather than something caused by sleeping position. Long term structural lowering of one eye due to side sleeping is not biologically expected. Temporary puffiness or creasing can occur, but true positional asymmetry is typically related to deeper anatomical factors.
Based on the photos, the asymmetry appears to involve the periorbital region rather than the eyeball itself. Differences in brow height, eyelid position, ligament support or soft tissue volume can all contribute to one side appearing lower.
To address this type of asymmetry, a combined periorbital approach may be helpful. Depending on the dominant factor, this could involve brow adjustment, eyelid repositioning or selective volume correction. Treating only one layer rarely produces balanced results, so planning is often done in a combined and controlled manner.
It is important to understand that achieving perfect symmetry is not realistic. The goal of treatment is improvement and better balance, not absolute mirror image equality. Even in surgically optimized results, subtle asymmetry will always remain, as it does in every natural face.
A detailed in person examination is essential to determine which anatomical layer is responsible and to create a tailored plan.
I hope this gives you clarity and reassurance as you consider your options.

Why is my right eye lower than my left and how can this be fixed? (Photo)

Answers (3)

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