What are my surgical options for correcting asymmetrical eyes after weight loss? (photo)

Question

Since losing weight my eye asymmetry has gotten noticeably worse. One eye appears more sunken and the other more forward with hooding of the eyelid. Can anything be done surgically?

Gary M. Horndeski, MD · Answer

Your eyes are deep set because of weight loss.  I would not recommend any fat removal.  However, you may benefit from skin removal from an upper blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Jill Hessler, MD · Answer

Weight loss can cause significant changes to the face and enhance the signs of aging. Surgery can be performed to rejuvenate the face or to correct asymmetries of the face/eyes.

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

William Portuese, MD · Answer

It is certainly possible to undergo unilateral upper eyelid surgery to make the hooded side look more like the opposite side, which is more hollow. This can be done under local anesthesia as an outpatient procedure which should take about 30 minutes.

Camille Cash, MD · Answer

From your photos you appear to be a good candidate for an upper blepharoplasty which would help address the asymmetry of the eyes.  You could also consider Morpheus8 treatments to improve overall skin tone and texture.  See a board certified plastic surgeon near you to learn more.

Mats Hagstrom, MD (license on probation) · Answer

All people have a significant amount of facial asymmetry.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
The human brain is a custom to seeing facial asymmetry as being normal.
We typically don’t see our friends and family members as having a symmetry in their faces, even though they do.
No one has a symmetrical face.
Computer generated symmetrical faces can be seen by googling the term.
A face made up from two left sides or two right sides tend to look like two different people.
Not only will they look like two different people, but Liza symmetrical faces have an odd and unfamiliar look because they don’t exist in real life.
There are instances where asymmetry can and should be treated around the eyes.
This is usually to upper eyelid positioning on individuals who have unilateral ptosis. For most other forms of asymmetry it’s better to not try to treat it.
The baseline asymmetry is almost always based on bone structure, not soft tissue coverage.
When soft tissue problems create a symmetry like upper eyelid, unilateral ptosis treatments typically work well.
Soft tissue approaches to skeletal asymmetry typically just lead to a second asymmetry that doesn’t balance out the first.
I don’t think you should have surgery for the sake of asymmetry.
Best,
Mats Hagstrom MD

What are my surgical options for correcting asymmetrical eyes after weight loss? (photo)

Answers (6)

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