Asymmetric and downturned eyes - what surgeries would you recommend for me? (photos)

Question

Hi my eyes are downturned and the white part is showing more . I also have very asymmetric eyes with different upper eyelids . So my question is what surgeries would you recommend for me ?

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photo. The eyelift procedure known as blepharoplasty can correct heaviness in the upper lids and define the crease to reduce the downturned appearance you describe. The shape and curve of the eyelids can be contoured for a more awake and symmetrical form. 
This minimally invasive surgery can also diminish darkness under the eyes by improving facial tone in this area. Together, the steps of this procedure can create a volumized, healthy, and symmetrical eye result. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and help you decide on the best course of action.

Gurkan Kayabasoglu, MD · Answer

Hello. You have low eyebrows and ptosis of the upper eyelids. Once these are corrected, the upper part will go up and the visibility of the lower part will increase even more. This is why canthoplasty is necessary. However, the power of canthoplasty alone cannot correct the collapse in your midface. Therefore, if it is done together with a mid-face lift, you will get a more precise permanent solution.You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Jeffrey Lisiecki, MD · Answer

You should be seen in person for eyelid concerns to be properly evaluated, and to see your whole face which affects the surgical plan. Also, know that all faces are asymmetric, and the slight differences between your eyelids are normal. Based off of what I see here, I would recommend an upper blepharoplasty, canthopexy, and fat grafting to the cheeks and around the eyes to address your concerns.

Mehryar (Ray) Taban, MD, FACS · Answer

You may benefit from lower eyelid retraction surgery with canthoplasty but need more detailed evaluation and discussion with expert to determine.

Zoran Potparic, MD · Answer

It may be difficult to make good diagnosis based on this photo ,but it is possible that you have mild upper eyelid sagging, ptosis. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and posting appropriate pictures. You seem to be a good candidate for ectropion repair without an external scar as well as fat injections for the eyelid cheek junction. Best to have an in person or virtual consultation to discuss options.

Asymmetric and downturned eyes - what surgeries would you recommend for me? (photos)

Answers (7)

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