My eyes become asymmetrical when I smile. How can I fix this? (photos)

This is a common question.  Every single person is asymmetric throughout their body and this includes the eyes. Asymmetries and eyelid wrinkles can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. That said, even after surgery I always warn patients that there will still be asymmetry and things will not look 100% perfectly even because some asymmetries cannot be corrected unless you  reposition bone, remove muscle etc. and some things are just not worth doing.
Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.
I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid surgery but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. 
I hope my answer helps and if it does, please take a moment to up vote this answer on the “respond” button on the top right.  Have a great day.

Facial asymmetry is a common concern, and many people experience changes in their appearance over time. Factors such as genetics, aging, and muscle movement can contribute to these variations. While some degree of asymmetry is natural and even considered attractive in many cultures, there are options to address concerns about uneven features. Non-Surgical Techniques like facial exercises, such as face yoga, may help improve muscle tone and balance, but results can vary. Cosmetic procedures, such as fillers or neuromodulators, can also create a more symmetrical appearance. Consulting with a qualified professional can provide personalized recommendations to help achieve your desired aesthetic.

This is an extremely common concern for people, and most of the time a little bit of Botox is the best option. In younger patients, it can enlarge the eye opening, allowing for a more symmetrical look. Normally ,we treat both sides, but if you only wanted an adjustment on one side without changing the movement of other eye, I would only target the left eye. I hope this helps! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Boston and Danvers, MA.

I often treat the bunched muscle under the eyes when people smile. The perfect treatment is one unit of Botox. This must be used cautiously in elderly patients who do not have good strength of the lower lid, because it can cause scleral show. However, in young people, it makes the eye aperture larger. I usually perform this on both sides, but in your case, I would just treat the left eye. I'm positive you will be pleased with the results. PLEASE do not have surgery!!

Your left upper eyelid is more droopy (ptosis) and may benefit from eyelid ptosis surgery. You can see an exact example by watching the video below which discuss various causes of eye asymmetry.  Also see link below for details on ptosis surgery.

and young, avoid anyone who says you could benefit from a surgical procedure.  And if you are swayed to have a procedure, please get some kind of warranty as its doubtful your symmetry will become perfect.  The muscles around the smaller eye appear to be more active and Botox would be the place to start with and if you find it isn't good enough, then consider procedures but still, get some kind of warranty because the worst thing you want is to pay considerable sums of money for no benefit.

Thank you for the photos and questions. I would start off by saying that perfect symmetry in facial features does not occur naturally and cannot be achieved by surgical or non-surgical measures. Improvement of asymmetry is possible. You might have overactive orbicularis muscle on the left which could be improved with Botox injections. You mentioned your cheeks are not symmetric and this could be improved by fillers or cheek implants. The third picture suggests you may have lower eyelid laxity or possibly underdeveloped cheek bones. An in person exam is necessary to completely evaluate your condition and come up with the best plan to help you achieve your aesthetic goals. Please seen a board certified plastic surgeon to learn about your condition and treatment options and good luck!

Hello! Thank you for your photos! I think that you are beautiful and please realize that no one is perfectly symmetrical! In your case, a bit of Botox carefully injected on the left side should calm down the excessive nature on the left. This is not conventional, so I would see an actual board certified plastic surgeon as amounts and areas of injection of Botox may need to be tweaked a little bit before getting you as even as possible. 

This has nothing to do with your eye and everything to do with the interplay of the muscles of the face when activated, ie smiling. Believe it or not, some patients are able to correct this by practicing smiling in front of a mirror until they learn how to correct this normally subconscious activity, a type of muscle memory feedback. The other alternative is botox into the "overactive" side every 3-4 months, but that has the risk of creating, temporarily, a different asymmetry.