What can be done for my asymmetrical eyes? (photos)

Question

Ive noticed that my right eye is noticeably bigger, rounder, and more slanted than the other. My left eye is my preferred eye. What would you suggest to fix this? I believe it doesn't seem to be a lid issue so I'm wondering if it's a muscle or eye socket imbalance. Are there any solutions? A surgeon told me the cause might be that one eye protrudes more than another, but I wanted to hear other doctors' opinions.

Kenneth D. Steinsapir, MD · Answer

You have mild left upper eyelid ptosis and compensatory right upper eyelid elevation and compensatory left eyebrow elevation. In addition to that you have a high dominant upper eyelid fold with redundant secondary folds on each upper eyelid platform. What is going on here is that you have partial levator disinsertion in the upper eyelids. This is sufficiently advanced on the left side to cause mild ptosis. There is a compensatory elevation on the right side. You prefer the left side because a slightly heavy eyelid is normal for double fold eyelids. Fixing this requires a sophisticated understanding of double fold eyelids. You need a very detailed physical examination to better understand the basis for your issue. I suspect you need both upper eyelid repaired using an anterior levator approach to repair the partial levator disinsertion that will be found in both eyelids. Your eyes can be your best feature. Don't work with a surgeon who does not understand your issue.

Alan Gonzalez, MD, FACS · Answer

Hello @Reserved6670, thank you for your question and showing your picture. Body parts do not all have the same size or shape. There are generally certain asymmetries. For example, one eyebrow is different from the other and the same happens with our eyes. For a proper assessment I suggest you consult one or several board certified plastic surgeon for more information and options. Best wishes! Alan Gonzalez MD FACS

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may benefit from an eyelid surgery known as blepharoplasty to change the appearance of the eyes. This procedure can redefine the shape of the eyes by removing any excess skin and repositioning the fat in this area to create a symmetrical appearance that is harmonious with the rest of your facial features.
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a thorough physical examination of both eyes and determine the best approach to achieve a more balanced result.

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Tanya T. Khan, MD · Answer

It is possible that one eye protrudes farther forward than the other eye. Some of the perceived asymmetry you are noticing is also from the upper eyelid position. There are multiple creases and removing some extra skin using your same main eyelid crease may help resolve some of this. Please see an experienced oculoplastic surgeon for your eyelids.

What can be done for my asymmetrical eyes? (photos)

Answers (5)

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