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Asymmetric eyes after lower blepharoplasty with fat transfer (1 year post op) - How can I fix this? (Photo)

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nmb518Dec 30, 2025

Surgery was 1 year ago With fat transfer to area. How do I fix this?! Overall, the under eye itself looks so much better. But my eyes are uneven and I’m very self conscious now. Is there a way to lower the lid?

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Dr. Zoran Potparic, MD
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Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 146 Reviews
Answered on Jan 5, 2026
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Zoran Potparic, MD

Based on these photos it appears that a lateral canthopexy on the “lower” eye would create more symmetry. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

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Zoran Potparic, MD

Based on these very limited photos which do not show entire periorbital area, it does not look like you should expect much of the improvement after lower or upper blepharoplasty. In person consultation is recommended.

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Jeffrey M. Darrow, MD

Thank you for your photo. I believe you should first have your eyelids checked for ptosis to be sure there isn’t an underlying abnormality with your levator muscle. If your muscle insertion and excursion is normal, it appears that an upper blephroplasty would allow you to achieve more symmetry o...

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Gary M. Horndeski, MD

A mid facelift can tighten the skin around the orbits to smooth out some of the contour irregularities. A lower blepharoplasty can be done to transpose fat to hide the tear troughs. Best Wishes, Gary Horndeski, M.D.

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Zoran Potparic, MD

It your case, malar augmentation with implants seem to be a good solution. In the same procedure, which we prefer to do through an inside of the mouth incision, surgeon should release both orbicularis oculi muscle and oblique ligament to diminish tear through deformity. In some cases a small...

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Kenneth D. Steinsapir, MD

The first photo shows bilateral upper eyelid retraction which is worse the anatomic left side in this image (assumes you have not reversed the images). In the second image pair, both upper eyelids are heavy with a relatively flat upper eyelid contour, the other eyelid demonstrates peaking of the...

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