Do I have ptosis? Why are my eyes so asymmetrical? (Photo)

Question

My eyes always had some asymmetry but it's gotten worse overtime. I had botox two years ago but I think it strengthened one of my eyebrow muscles. I'd like to have bigger and symmetrical eyes. Any advice appreciated.

Sam Speron, MD, FACS · Answer

Thank you for your question and pictures!  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 somethings 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.  Make sure that the physician you go to understands the anatomy of your face and your needs.
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!

Kenneth D. Steinsapir, MD · Answer

You need double fold ptosis surgery to make the eyelid bigger but preserve their natural character. This requires surgery on both eyelids to perform an anchor blepharoplasty and anterior levator resection ptosis surgery. There is no substitute for a detailed in person consultation.  Your eyes can be your best feature.

Do I have ptosis? Why are my eyes so asymmetrical? (Photo)

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