Options for Correcting Asymmetry After Lower Blepharoplasty?

The eyelids themselves are naturally asymmetrical on nearly every patient. Unfortunately, your asymmetry is probably accentuated from the surgery that you had. Festoons are almost impossible to get rid of since they are not part of the eyelid complex and are located more on the malar cheek pad area. Options are available to attempt to make the eyelids more symmetrical and include different placement of incisions, removal of asymmetrical fat and/or canthoplasty. Check with a reputable surgeon who has lots of experience in this area.

The lower eyelid that is "higher" has had less skin retraction that the one that is "lower and rounder" more skin retraction. This can be improved with non surgical approaches and if considerable possibly a minor revision. It is unlikely that skin was removed only from one eyelid and not the other. Talk to your doc about your options.

The best thing to do is to discuss your situation while looking at the preop photos together with your surgeon. Anytime an incision is made on the lower eyelid for blepharoplasty, there is a chance that scarring will pull the lid down, even if the procedure was performed correctly. Early in the postoperative period, this can often be corrected with massage. However, since you are 4 1/2 months out from surgery, it will probably not help. Small changes can usually be corrected with a small surgery called a canthoplasty if needed. Be sure to go over your pictures with your surgeon. Good luck.