One of My Eyelids is Dropping, What are My Options? (photo)

I am 17 years old. Over the past few months in photos I have noticed my left eyelid drops considerable more than my right! Should I be concerned? what are my options? this has been going on since about August. Thats when I first noticed it and it wasn't that bad but I think its gotten worse. More and more people are noticing it now and I want to fix it. is it a health issue or just aging? I'm only 17 so if its aging how bad is it going to get?

Doctor Answers 13

Eyelid Asymmetry and treatment.

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Your eyes are slightly asymmetric which is common. Leave them alone. No one notices this except you and you do Not need surgery! You can always find a surgeon ready to operate.

Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Normal asymmetry

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Your left upper eyelid is slightly ptotic (droopy). It is within the range of normal asymmetry. An operation to elevate the eyelid would probably cause it to be higher than your right eyelid. Botox injections could create other issues. The best advice anyone can give to you is to do nothing. 

Droopy eyelids

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Thank you for posting your photos. The fact that your eyes looked normal back in August and that you have developed unilateral (left) eyelid ptosis gradually over 1-2 months requires a full evaluation. Your medical history along with a good physical exam and even intracranial imaging would be a good start. Do not let this go one for too long. It is better to do a full work up and find out that this is just normal facial asymmetry than let this be secondary to a bigger problem medical problem (e.g. intracranial mass, etc.). Assuming this is just an aesthetic concern, ptosis surgery could improve your appearance. This surgery can be performed with an hidden incision behind the eyelid, considering your ptosis seems to be minimal. Please find an oculoplastic surgeon in your area to get evaluated. Hope this was helpful. Good luck!

Facial Asymmetry

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There are multiple anatomic abnormalities that can result in eyelid and facial asymmetry. These may include deformities of the orbital bones, eyelid soft tissue and eyebrows. In most cases, they are relatively minor, but in some cases, they may be severe and extremely noticeable. Depending upon the deformity, treatment may or may not be possible. Although it's hard to tell exactly what's going on from your pictures, I suspect you have boney orbital asymmetry. It appears that on the side of your droopy eyelid, you also have a depressed orbital rim and flattened cheekbone.

Asymmetry of the facial bones can be a major contributor to facial asymmetry. When this occurs, it's not unusual to have one side of the face that has a depressed orbital rim and flattened cheekbone and an eye that appears smaller than the opposite side. This can result in a droopy eyelid. These findings are often related to a condition called plagiocephaly.

When this situation arises, it's possible in some cases to disguise asymmetry. Unfortunately, it's not possible to correct this deformity without major surgery. In this case, a unilateral brow lift might be helpful. If you're considering treatment, it's important that you meet with a board certified plastic surgeon who can help you with this decision.

Droopy lid

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I agree with you that your left side appears to be slightly lower than your right.  This is definitely not associated with aging.  If there has been acute change, as you describe, I would consider reviewing old photos and bringing them with you to an eyelid or orbital specialist (oculoplastic surgeon). Most likely though, this is normal facial asymmetry and you can consider a cosmetic left sided eyelid or brow lift, it continues to bother you.

Sean Paul, MD
Austin Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Not your eyelid but your eyebrow

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looking at your photos, I only like one of them and that is the one you are looking right at the camera. The other two are not straight shots and not good for evaluation of patient. form that photo, it appears that you have a left eyebrow ptosis. So you need to have possibly little Botox injected on either side to get your eyebrows symmetrical. 

Aymmetric Eyelids

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It appears that your right eyelid is actually too wide open and your left upper eyelid is perfectly normal. If there has been a significant change in your eyelid position I believe you might want to have your thyroid gland checked because you may be manifesting early Graves disease which causes eyelid retraction which is what I believe you demonstrate in your photograph.Graves disease is 4 to  5 times more common in women and patients commonly don't know that they have the problem.

Joel E. Kopelman, MD, FACS
Ridgewood Oculoplastic Surgeon

Facial asymmetry

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thank you for the photographs

one thing to feel great about is that you have beautiful features and an overall very attractive appearance. I agree with the other surgeons that it appears that you have some asymmetry of your facial bones and in particular the position of your left eye. That may be due to a difference in the size of the orbit or eye socket.

Get several consultations before proceeding with anything and I would consult with facial plastic surgeons and oculoplastic surgeons.

I've attached a little information not because I believe you have ptosis but because I think you may find it helpful to see the differences between these patients and yourself.

Incidentally, since I see you live in Illinois one of the very best oculoplastic surgeons in the country is Stewart Farris, MD in Springfield Illinois

Chase Lay, MD

double board certified facial plastic surgeon

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

Eyelid assymetry may represent the shape of the bones underneath

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Dear dandc

Thak you for the pictures, a large proportion of people have assymetry of the face and you are now noticing it more than before.  Your left eye socket is likely lower than the right. 

  • Because you say that it has been changing, I would recommend a consultation with a facial plastic surgeon or craniofacial surgeon .
  • Your forehead movement, eyelid movement and eye movement can be checked.  
  • 3D photographs or a 3D CT scan can be helpful to determine just where the assymmetry is most prominent.  Then, you can decide whether any surgery is worth it to you.   Best Wishes

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon

Facial/eyelid asymmetry

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Although you may have very slight left upper eyelid ptosis, you have more prominent bony facial asymmetry with left side of face being smaller than the right, contributing to a lower brow position on the left side.  There are nonsurgical and surgical options to help the asymmetry.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 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.