When we get tired then it may happen that one eye seems to be smaller than other.

What treatment should be done?

Doctor Answers 3

Upper eyelid asymmetry when tired

Thank you for your question. It would be helpful if you could post some pictures. It is very typical for other eyes to change shape when tired, one may become heavier and droopier than the other therefore appearing smaller.  If this happens only when you are tired, I would suggest it not being a problem, however if this is not the case, please make sure you find a reputable and qualified eye surgeon who can assess you properly to give you a realistic idea of what the cause is and what outcome can be achieved.  

Upper Eyelid Surgery, where extra skin and fat on the upper eyelid can cause the eyes to feel and look tired. Taken to the extreme, the extra skin can hang so much that it can hamper your vision and cause discomfort. Eyelid surgery combined with Eyebag Removal can effectively reduce the excess skin from the upper and lower eyelids to leave you with wider more youthful looking eyes. 

All The Best

Eyelid asymmetry when tired

Thank you for sharing your question. It is very common for individuals to notice one or both eyelids dropping when tired. If this is the only time you have a droopy eyelid, you should ignore it. Otherwise, see an experienced eyelid surgeon for evaluation and guidance.  Good luck,

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 139 reviews

Eye symmetry

That's a great question! It would be helpful to see pictures, as there could be many causes.  One of the more common causes is a mild stretching of the tissues that raise the eyelid,  so you "work" a little harder on that side.  As the day goes on, it shows a little more from fatigue.  This can be corrected by upper lid surgery.

Jeffrey Joseph, MD, FACS
Lafayette 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.