What can be done to correct the tilt of my right eye so that it matches the left eye? (photos)

Hello,

Thank you for your question and for sharing your photographs. Based on the images, it appears that you have bilateral upper eyelid ptosis, which is more pronounced on the right eye. Both upper parts of your pupils are covered by the lid margin, and typically, one would expect to see the pupils in their entirety. This suggests that the eyelid position is relatively low on both sides, but slightly lower on the right.

Understanding Your Condition:

1. Bilateral Upper Eyelid Ptosis: The asymmetry and the slant of your right eye appear to be due to a more pronounced ptosis (drooping) of the upper eyelid on that side. This condition can cause the eyelids to cover part of the pupils, leading to the appearance of asymmetry.
2. Specialist Care: The specialists who deal with eyelid ptosis are usually oculoplastic surgeons. These surgeons have specialized training in both ophthalmology and plastic surgery of the eye area. There are also some plastic surgeons who specialize in eyelid surgery and offer ptosis correction.

Next Steps:

I recommend consulting with an oculoplastic surgeon or a plastic surgeon who specializes in eyelid surgery. They can assess your condition in detail and discuss the best options for correcting the ptosis and improving the symmetry of your eyes.

If one of your upper eyelids is several millimeters lower than the other, and if this is causing you grief, please consider meeting with a reputable oculoplastic surgeon to discuss the feasibility of ptosis surgery. I hope this is helpful and thank you for your question. Sincerely, Dr Joseph

This is ptosis. Looks like you can certainly benefit from a repair. As previously mentioned, find an ASOPRS Oculoplastic surgeon!

Facial aesthetics are primarily determined by skeletal structure.
This is also true for your orbits.
If your lateral canthal insertion is inferior then it’s based on the shape of the skeletal orbit.
I don’t see an easy correction for this and soft tissue approaches are unlikely to leave you with a satisfactory outcome.
This is not an easy or straightforward thing to attempt to correct.
Most likely it’s going to be better not attempt to correct this.
You can consult with oculoplastic surgeon in your community to see if they have more insight but I think Surgeons will probably steer you away from attempted surgical correction.
Best,
Mats Hagstrom MD