Do I need an upper bleph? On one eye? (Photos)

Question

Hey! I’ve been told by my PS he can do an upper bleph on one eye but I’ve also been told by others that I have a hollow eyelid and an upper bleph wont fix it… unsure who to trust at the moment looking for others opinions. Would a one eyed upper bleph be okay?

Pawel Szychta, MD, PhD, DSc · Answer

It’s understandable to feel uncertain, especially when you’ve received differing opinions from professionals. Whether or not a one-eyed upper blepharoplasty (eyelid surgery) would be appropriate for you depends on several factors, and it’s important to weigh all considerations carefully.Discuss hollowness concerns with your plastic surgeon.If you decide to move forward with the upper blepharoplasty on one eye, be clear with your surgeon about your concerns regarding hollowness. Ask them how they plan to address it and whether fat grafting or volume restoration would be a better option in your case. If hollowing is a big concern, talk to your surgeon about combining a fat graft or dermal filler with the upper blepharoplasty to achieve a more balanced, youthful appearance.
In conclusion, a one-eyed upper blepharoplasty can be a good option if there’s significant asymmetry, but if hollowing is present, it may not fully address your concerns. Be sure to have a detailed discussion with your surgeon about your goals and how they plan to achieve balance between your eyes.

Mats Hagstrom, MD (license on probation) · Answer

Facial asymmetry is normal and everybody has it to some degree.
Most facial asymmetry is based on skeletal structure, not soft tissue coverage.
It’s common for people to have one ice socket that sits higher in this skull than the other side.
It’s also possible that one eye socket has a different shape than the other side.
This is most likely what’s going on with you not a difference in the actual soft tissue coverage.
The fold is different in each upper eyelid, but again this could be related to skeletal structure, and in my opinion, most likely is.
The human brain is accustomed to seeing people with substantial facial asymmetry because everybody has it.
For that reason, other people typically don’t see facial asymmetry.
 You probably don’t think of your family and friends having facial symmetry, even though all of them do.
I think you should avoid having symmetry surgery because it’s unlikely to give you a good outcome and will most likely leave you disappointed.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
all people have symmetry and it’s normal.
When people look at themselves critically and see the asymmetry, they often see themselves differently than the rest of the world look at us. 
Surgical intervention to treat asymmetry usually just creates a second asymmetry.
I suggest you leave this alone.
Best,
Mats Hagstrom MD

Do I need an upper bleph? On one eye? (Photos)

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Do I need an upper bleph? On one eye? (Photos)

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