Why does shape of my eyes differ a lot, leading to differences in size on both halves of the face? (Photo)
Doctor Answers 5
Facial asymmetry is caused by bone structure. There are non-surgical options that may help
I can certainly help you with your concern. To give you a little information about myself — I am a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I specialize in cosmetic surgery of the eyelids and the areas around the eyes, so I am quite familiar with situations like yours.
The reality of facial asymmetry is that it’s determined by the bone structure of your skull, wherein one side is a little bit smaller than the other, which is a very common occurrence. People think that having symmetrical features is a norm, but in reality we are all naturally asymmetric. One side of our faces and our bodies is always a little bit different than the other, and this becomes more obvious as we get older.
As we age — and I am not necessarily saying that this applies to you — we naturally lose volume, bone, muscle, fat, and soft tissue. In my practice, I often meet with patients who are frustrated because one eyebrow is lower than the other or one nasolabial fold is deeper than the other. It helps a great deal to understand that this is simply the way the bone structure is, and the soft tissue, muscle, fat, and skin lay over the bones in such a way to create an appearance like yours. If you ever get the opportunity to have a CT scan done, you may be able to see these differences in your bone structure more accurately.
Usually, with these types of situations, there are limited surgical options, mostly because the amount of surgery is probably not going to make a significant enough amount of difference to justify the approach. In our practice, when I treat patients for facial aging, I try to just augment or enhance the weaker side by adding volume in the cheek area, for example. We do this through a method called structural volumizing, wherein we place hyaluronic acid fillers at the deeper structural levels of the face, below the muscle and just on top of the bone structure. This allows us to give the patient more volume, definition, and angularity, as well as symmetry to their face.
A non-surgical approach you may want to consider is the artistic application of Botox®. When a person has uneven eyebrows, there may be some benefit in trying to either lift the eyebrow a little using the Botox® brow lift method, or relax the eyebrow. However, I don’t know if the benefit will be significant enough for your case. There is difficulty in trying to determine the appropriate approach to something using only a photo as a basis, and without a physical exam wherein I would be able to see you move your eyes and your eyebrows up and down.
Ultimately, this is an issue of the natural bone structure of your face, so trying to achieve symmetry may be of limited success. If you are, however, adamant about it, you could try to pursue an approach that is less risky and non-surgical.
I hope that was helpful and I wish you the best of luck!
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Facial asymmetry and uneven eyes
Asymmetry of face and eyes
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