Is it normal to have some eye asymmetry? Or should I get this fixed? (Photo)

Question

I've noticed that one of my eyes appears smaller than the other. I'm not sure if I'm overreacting, or if I should seek surgery to fix this; sometimes it is not as noticeable if I focus on opening my right eye more. Is this a normal amount of asymmetry?

Donn R. Chatham, MD · Answer

Most of our patients (and everyone else too!) has visible asymmetry in their faces. One brow is often higher, one eye appears larger, one cheekbone or jawline is stronger etc. This is usually normal and no cause for alarm. However when the degree of asymmetry is excessive, we may suggest options to help balance this. Eyebrows for example might improve with something as simple as Botox or Dysport injections, and surgery may be used at times as well.

Scott Trimas, MD · Answer

It appears from the one photograph that you might have some eyelid ptosis or drooping of the eyelid on the right. This could be corrected but some asymmetry is often acceptable. It it is bothersome, I would seek a consultation with a specialist in your area and get their opinion.

Carmen Kavali, MD · Answer

Thank you for your question and the helpful photo.  You eyes are beautiful!  I do see that very slight asymmetry, with the lid of your right eye sitting ever so slightly lower than your left.  But it is SO slight.  Some of the most beautiful people in the world have such slight asymmetry.  Unless fhis really, really bothers you, or unless it worsens over time, I wouldn't do anything at all all.Best wishes,Dr. K

Damon B. Chandler, MD · Answer

Almost everyone has mild asymmetry between their eyes and on each half of their face. You are beautiful and have lovely eyes. Artful makeup is all I'd recommend on the basis of your nice photograph. If you ever wanted a definitive opinion, please see a  board-certified, fellowship trained Oculofacial Plastic Surgeon who specializes in cosmetic eyelid surgery. Avoid doctors who perform eyelid surgery part time.  Best wishes!
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

William Portuese, MD · Answer

It is normal to have asymmetry in the eyelids and  the forehead. If this is bothering you significantly, and is present consistently, then consider a very conservative skin only upper blepharoplasty on one side to match the opposite side as long as there's no ptosis present.  For many examples, please see the link and the video below

Is it normal to have some eye asymmetry? Or should I get this fixed? (Photo)

Answers (5)