Asymmetrical eyes. Botox? (Photo)

i like my eyes but one of them is lower on my face/smaller/more swollen not as long. i didnt notice this until recently. i dont want anything invasive.. would botox be an option?

Doctor Answers 4

Botox for asymmetry of the eyes

Thank you for your question, and for including your photos. In the photos, I see a downward displacement of your lower eyelids, towards the outer corners of both your eyes. It appears to be more pronounced on the left lower eyelid.  This can occur as a result of improperly injected Botox or as a complication of lower eyelid surgery. Botox will not be a suitable treatment. If it has been caused by Botox, it will spontaneously improve as the Botox effect wears off over the next couple of months. If it is a complication of lower eyelid surgery, upward massage of the lower lids (with or without a Cortisone injection in the affected area) will slowly improve it over months. If that does not give you complete improvement, it may be necessary to lift the droopy portion of your lower lids with a procedure called a lateral canthoplasty.  The best approach for you is to to consult with a board-certified oculoplastic surgeon in your area, who can determine the best treatment for you.

Cleveland Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

Asymmetry of the eyes. Botox, Filler, Implants?

Dear bambi245:

Thanks for sharing your photos. I see some boney asymmetry of your facial skeleton. This is the "hanger" on which the different layers of tissues or "clothes" hang onto. Some variation like yours is normal.

It appears as though you may have had Botox in the past; particularly along the lower lateral eyelids due to the rounded open eye. This may also relax the muscles which lift the cheek making it look longer. 

You may wish to consider structural fillers placed along the bone such as Radiesse or Volumizing fillers in the soft tissues of the cheeks and temples to improve the concerns you have. 

Please consult with a skillful and talented, Board Certified Plastic Surgeon or Facial ENT Surgeon with experience in the minimally invasive and surgical techniques to achieve the improvement you are looking for. 

I wish you the best!

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
4.8 out of 5 stars 69 reviews

What Botox can do around the eye

Botox is able to lift the brows and open up the eye more. It can also decrease the wrinkles around the eye. Placement of a small dose in the lower lid will make lower the lid very slightly in someone that has no significant lid laxity. Changing the position of the eye or widening the eye is not possible with Botox.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

Botox and asymmetric eyes

Botox is medication injected into muscles to weaken them in a controlled way.Everyone has asymmetry of their face. Minor asymmetries make us unique. The eyes are a key feature of the face. Botox can adjust for differences in the position of the eyebrow; however changes in position or shape would require surgery. I recommend consulting with a surgeon who focuses on the face. She/he can examine you and discussion potential options, including doing nothing. Safety comes first. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.