Asymmetry in Lips and Eyes? (photo)

Question

My right eye and right lip sit lower than on the left side. It has become more pronounced with time. I think vision in my right eye has gotten worse over the past 6 months at around the same time, so perhaps the problem is a lazy eye. Is there any way I can correct the right half of my face? I'm not sure if it is a problem with a lazy eye, the muscles or my bone structure. I think my lips have always been uneven, and my eyes too - but never this pronounced.

Kenneth D. Steinsapir, MD · Answer

You do demonstrate right upper eyelid ptosis.  It is hard to tell if the right eye is more sunken than the left.  A personal consultation to assess this question would provide an answer.  There is a well describe chronic sinus problem that can cause slow changes in the eye socket called silent sinus syndrome.  What happens is the sinus opening closes due to chronic sinus inflammation or trauma.  The negative pressure in the sinus slowly causes the boney orbital floor to bow down making it look like the eye is shrinking.  Do you have this?  You appearance is not really consistent with this but an examination look for what is called enophthalmus and appropriate imaging studies may be required to answer these questions.  I suggest you see an oculoplastic surgeon or a otolaryngologist to answer this question.

John Frodel, MD · Answer

After looking at your picutre upclose, I think you see a physician that can do some direct neurological nerve testing, if this has always been the case (looking at past photo's) then some difference can be addressed with injectables.

Darryl J. Blinski, MD · Answer

Yes I see a very obvious asymmetry. Best to compare to younger photos. If a recent occurrence than seek full work up and testing to check for a medical/nerve/genetic issues.

Asymmetry in Lips and Eyes? (photo)

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Asymmetry in Lips and Eyes? (photo)

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