How can I fix my eyelids? They don't match. (Photo)

I’m a board certified cosmetic oculofacial plastic surgeon practicing
in Manhattan and Long Island for over 20 years. I specialize in cosmetic and
reconstructive surgery in the eyelid area and I deal a lot with revision
surgery for complex reconstructions as well as complications of infections and
cosmetic surgery.



Pink eye is a condition called conjunctivitis. This is an infection
where the eyes are always wet and tearing, but it eventually gets better.
However, conjunctivitis does not change the space around your eye. In your
photo, I can see that the left eye has a very high crease. High creases are a
result of loss of volume in the orbit or eye socket, specifically there is loss
of orbital fat or fat that’s normally around the eyes. This also happens in
patients who have infection such as preseptal cellulitis or orbital cellulitis.




To address this hollow area, there are both surgical and non-surgical options.
Prior to the use of fillers, my approach for patients with high creases due to cosmetic
surgery is fat grafting. I would harvest fat from an area of the body and place
it into the hollow space in different levels. This way, the fat would heal and
the body would readily take it. This process involves taking cells or tissue
out of one area, taking them away from the blood supply, putting them in
another area, then hoping the blood supply will take. One of the challenges is
if the fat doesn’t take, which is why grafting often requires multiple
procedures. There are other methods such as dermis fat grafting, which is a
different approach that involves an incision on the eyelid, and the placement
of a combination of skin and fat placed into that space. Again, it is surgical
graft, therefore there is some unpredictability.



In some patients who have a hollow appearance, we can also use fillers
such as Restylane and Juvederm. This is a conservative way to fill part of that
orbital space. It’s generally not advised to place it in the high area inside
the orbit. It doesn’t seem to follow any type of predictable result, but we can actually get a nice cosmetic result with just the
filler alone. We’ve also combined the filler with platelet-rich plasma (PRP) to
have a synergistic effect that would stimulate tissue growth and healing.



It’s important that you meet with doctors and get some opinions. I
would recommend oculoplastic or oculofacial plastic surgeons. The eyes are a
very specialized area and you would be best served with someone who does this
as a significant part of what they do in their practice. In addition, get some
opinions of what would be best for you. It’s very important that you
communicate and work with the doctor you’re comfortable with in terms of the
risks and benefits. There’s obviously no perfect solution for this. I hope that
was helpful, I wish you the best of luck, and thank you for your question.



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You have left upper lid ptosis and the only way to correct it would be surgery. This is done under local anesthesia and recovery would be 10 days. Please see you local plastic surgeon or  oculoplastic surgeons.