How can I fix my eyelids? They don't match. (Photo)
Doctor Answers 6
Eyelids don't match
Pink eye (conjunctivitis) doesn't normally cause hollowing, but there are options to correct your hollow eye
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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