Many times I answer these questions only when I think I can offer a perspective that differs from what has already been offered. Such is the case here. Not to rain on your parade, but I don't think Fractora is the answer to your symmetry issues. This is because there is one fundamental truth about your anatomy, at least as reflected in this one image, that has yet to be pointed out before making any attempt to correct or change that anatomy. Like most people, your facial skeleton is asymmetric, and that in turn causes asymmetries in how the soft tissues drape over and interact with the underlying bony or cartilagenous support. Assuming that you have provided a standard camera facing image (as opposed to a mirror image) your right orbit is significantly and noticeably smaller than your left. The right eye is deeper set, the length of the palpebral fissure - the horizontal width of the opening of the eye - is shorter on the right than the left, and the shape and positions of the upper and lower lids are different between the eyes. This is before we even begin to analyze the skin of the upper lids. Furthermore, although the top of the brow arch is roughly at the same level on both sides, the right brow is distinctly shorter horizontally and more acutely arched, and the distance between the lower hairline of the brow and the upper eyelid margin is shorter on the right than the left. This is why you are seeing a difference in the folding of the eyelids; it is probably IN SPITE OF, and not BECAUSE OF your previous blepharoplasty. You didn't mention whether or not you had lower blepharoplasty in addition to upper or just upper, and since I see no obvious scars on the lower lids, I am assuming that it was just upper. In that case, there is very little likelihood that the procedure caused a difference in the opening of your eye, save for maybe exposing the underlying asymmetrical bony anatomy. In the event that a lower lid bleph was performed too, depending upon what was done with the lateral corner (canthus) of the eye, that could have caused some of the things that we see now, but even still, I think the bony anatomy is what it is, and my comments below about Fractora will still hold.Let me first say that I love Fractora. I own the device, and I use it regularly with excellent results. This includes even on the thin skin at the margins of the eyelids against the bone. So I am a fan. However, because of the things I have pointed out above, I would have very little confidence that I could effect satisfactory change in your eyelid symmetry with Fractora alone. I say these things to you about the findings in your image and about Fractora not to discourage you or be mean, but to be real, and possibly save you from undergoing a fruitless procedure and being disappointed. I'm not saying for sure at this juncture not to do Fractora; I can't say that from here without a personal examination and consultation with you. What I am saying is that your case is special, and in a case like yours, if you are going to really consider Fractora, you must make sure that you find a surgeon who not only has Fractora and knows how to use it and get reliably good results with it, but who understands the surgical anatomy of the orbits and eyelids and can do the kind of complex analysis on your face and eyes that I just did above. This is the only way that you will ensure the best evaluation and recommendations for options to improve this result, if there are any. Best of luck to you.
