I have one droopy upper eyelid, I think the cause is sleeping on that side of my face. What is the best treatment? (photos)

Hi ICDATTC,Interesting.  It appears that you have some ptosis of your right upper eyelid but have a slightly higher left brow that compounds the asymmetry.I suggest you go for an opinion with an oculoplastic surgeon to see if you can have the ptosis corrected, if it is bothersome to you.Best wishes,Dr. Jay

Thanks foe the question! From the photos it isn't really apparent which side is droopy, which tells me that it isn't a very dramatic asymmetry at this stage. Sleeping on one side all the time can lead to differences in facial appearance over many years, but a good skin care routine can minimise this. Can you try sleeping on the other side at least some of the time?

Based on the photos, you might want to consider a brow lift and a blepharoplasty. There seem to be a ptosis of the upper eyelid. However, it is very difficult to give an accurate assessment with only photos. It would be best to schedule an appointment with a board certified occuloplastic surgeon for an in-person examination and a detailed discussion of your surgical options.

Thank you for your question and photo. I do see the eyelid issue that you are noticing. You appear to have some upper eyelid ptosis on both sides, but the degree of involvement is asymmetric. Consider seeing an ASOPRS oculoplastic surgeon for a consultation. Best of luck!

Hello, thank you for your question.It is difficult to evaluate static photos, the best way to determine what is going on with your eyelids is to see a specialist such as an oculoplastic, facial plastic, or plastic surgeon who surgically correct ptosis. During your consultation, your doctor will measure the levator muscle function, the amount of droopiness you have at baseline, test whether it is a nonvoluntary muscle that is weak in lifting the eyelid, etc. The combination of findings will help to determine the correct treatment. I hope this helps. - Dr. Leong

You may have ptosis involving one or both sides. Measurements of the levator function, position of the eyelids in primary/ straight ahead gaze, and Hering's test are important for accurate advice. Please see an oculoplastic surgeon for detailed evaluation of your eyelids. Best wishes.