How can I correct uneven eyelids? Is surgery my only option? (Photos)

Question

I have very uneven eyelids as seen in the photos attached. I noticed the change early in my teenage years, they were not always uneven. I believe one was frequently swollen from a lack of sleep and lacrimation. I get Botox in my brows (brow lift) which was meant to help reduce the appearance of hooded eyes but I do not notice a huge difference. This is one of my greatest insecurities and I really want to feel confident taking pictures again!

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photos I see there is much of extra skin under and above your both eyes. Like filler or botox your problem will not solve permanently and completely. I highly recommend you upper and lower eyelid blepharoplasty for making the eye area fresh and elegant. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

Donald B. Yoo, MD, FACS · Answer

Although an in-person exam would be necessary to provide a definitive answer, based on the photo you have provided it does appear you would be a suitable candidate for upper blepharoplasty to create a more defined and symmetric crease. During the surgery a small amount of fat and excess skin will be removed, and your crease will be formed and set at a bit higher.  If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. #drdonyoo

How can I correct uneven eyelids? Is surgery my only option? (Photos)

Answers (3)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

How can I correct uneven eyelids? Is surgery my only option? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.