Due to my asymmetrical eyes, would I make a suitable candidate for surgery? (photos)

Question

have considerable asymmetry of the eyes but this does not effect my vision at all. It seems to me my right eye is further out and positioned higher. To lesser degree I have always had it but I have noticed that in my photos it is beginning to look more and more pronounced in recent years. In physical reality, it is also noticeable when your focus is placed on them. Overall, I am quite healthy and still quite young at 29 years. What could have caused this? Treatment-wise, what are my options?

Alexandre Marchac, MD · Answer

Sir, Judging from your pictures, it is your left eye which seems slightly lower than the right one, a mild and quite frequent anomaly called orbital dystopia. A lot of people have it, including several celebrities.A complete clinical examination by a craniofacial surgeon (a subspecialty within plastic surgery) and A CT scan are necessary to confirm this diagnostic. Severe orbital dystopia can be corrected by an extensive surgery called a "box osteotomy" which consist in moving the entire orbit. Very few surgeons perform this operation, which requires a coronal incision (long scalp incision) and lower eyelid incision, then cutting the bone around the eye and removing bone in the forehead, then moving the orbite upward. The scars can be more visible then expected, and the upward orbital movement can alter the vision of the patient, as the eye musculature need to adapt itself to its new position.All in all, because your asymmetry is so mild, I absolutely do not recommend surgery in your case. i hope this helps, best,

Kenneth D. Steinsapir, MD · Answer

You have a facial asymmetry without a doubt.  This is actually very common.  I recommend if you are concerned about this, get the asymmetry worked up to determine that there are no other issues.  The solutions to this are not very satisfactory.  Surgeons have propose orbital floor volume to lift the eye.  Generally this is a huge surgery for a small benefit.  The surgery has the potential to cause blindness.  To me, the risks do not out weigh the benefits.

Paul M. Parker, MD, FACS · Answer

The facial asymmetry you exhibit is not an easy one to improve. In order to pursue further, obtain a consultation with a plastic surgeon with an expertise in craniofacial surgery--you will often be able to find someone like this at a large medical center. They can evaluate you and discuss options in detail.

Due to my asymmetrical eyes, would I make a suitable candidate for surgery? (photos)

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Due to my asymmetrical eyes, would I make a suitable candidate for surgery? (photos)

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.