Asymmetrical eyelids, would a blepharoplasty on the good eye be a good option? (photos)

Question

I was diagnosed with congenital ptosis in 1 eye and have had 3 surgeries total. As I lose hope for my "bad" eye, could we tweak my good eye? I don't exactly dislike my ptosis eye, I just dislike that my eyes aren't symmetrical. Sometimes I even think my good eye is too hooded. Would a blepharoplasty on the good eye be a good option? I understand it wouldn't be as droopy as the other eye, but maybe the appearances of more eyelid would create an illusion of more symmetry between the 2?

Kenneth D. Steinsapir, MD · Answer

The answer to your question is maybe. You really need a very detailed clinical assessment. Your ptosis surgery result is not terrible. Honestly if you have had a full thickness ptosis surgery (awful surgery in my opinion) fixing this after that is challenging (not impossible). It is possible to do very conservative blepharoplasty on the right side. It is also possible to do crease lowering surgery on the left eye. These type of eyelids are so complicated that there is simply no substitute for a detailed in person evaluation.

Zoran Potparic, MD · Answer

It appears that very conservative blepharoplasty on healthy eyelid may expose more of the fold and create better symmetry. However, this is a very subtle surgery and should be discussed with a board certified plastic or Oculoplastic surgeon familiar with ptosis repair and eyelid surgery. Good luck.

Asymmetrical eyelids, would a blepharoplasty on the good eye be a good option? (photos)

Answers (2)