How can I make my eyelids more symmetrical? (photos)
Doctor Answers 9
Ptosis on the left
Your asymmetry is caused by ptosis on the left. Repair of the ptosis (advancing and re-attaching ) the levator muscle will help the hollow appearance by allowing some of the orbital fat to come forward as the muscle is advanced. I would discourage fat grafting as this may lead to adhesions and poor function of the eyelid. Best wishes.
Asymmetric eyelids from one side ptosis
Eyelid Asymmetry Due To Ptosis
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Ptosis and eyelid platform
What you are noticing is a subtle droop of the left eyelid but even more noticeable is a longer eyelid platform. Several studies have shown that eyelid platform (the perceived distance from the eyelashes to the fold of skin of the upper eyelid) is far more important to the appearance of symmetry than eyelid position.
There are many subtle things that can be done to improve this symmetry including raising the eyelid slightly but also considering making the appearance of the platform more symmetric. This can be accomplished with surgical or nonsurgical methods.
Hi Jimmer8,Your photos would seem to identify ptosis of the left upper eyelid. This can be classified as congenital or acquired. This differentiation is based on age. A more comprehensive classification is based on etiology and includes myogenic, aponeurotic, neurogenic, mechanical, traumatic, and pseudoptotic. The most common cause of congenital ptosis is myogenic due to the improper development of the levator muscle.
Most cases of acquired ptosis are secondary to aponeurotic causes, such as involutional changes, a disinsertion, or a dehiscence. Identification of the underlying mechanism is paramount in instituting optimal treatment. I suggest that you see a board certified oculoplastic surgeon for a comprehensive examination and management. Good luck
Apologies but I find your pictures a little confusing. The first picture supports what you say which is a lower brow on the right making the lid look heavier. The lash position relative to the pupil shows that lid ptosis (a lower sitting eyelid) is not the problem, just a heavier brow. This can be corrected with botox, most simply under the brow or volumising of the orbit margin perhaps. The darker photos seem to show a lower lid position on the left ie ptosis. Of course when someone sees you face to face then we can get a true idea of what is going on. If the problem you describe is true, heavy right upper brow, then I expect a small dose of botox will do the trick.
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