Right eye is bigger than my left - which procedure would be able to correct this? (photos)

Question

My right eye is significantly larger than my left! I don't have any problems with the eye but it's really noticeable when I take a photo and it's making me really self conscious. What is the best surgery to correct this? It's only got larger in the last couple of years.

Selcuk Inanli, MD · Answer

Hello! Thank you for your message.As far as I can see from your photos your right eye is more rounded than the other one. For improve the symmetry between your eyes I suggest you cat eye surgery for make your right eye more slanted. Please keep in mind that %100 symmetry is not achievable in any case. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Zoran Potparic, MD · Answer

Only on the basis of in person consultation it would be possible to find the reason for your asymmetry. Eyeball protrusion, proptosis, needs to be checked. Lower eyelid tightening and repositioning, may improve current asymmetry and scleral show. In person consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

Robert Oliver Jr., MD · Answer

It's a little hard to tell from the photos (which aren't straight on). A lot of people have degrees of underlying skeletal asymmetry of the the malar area (cheek) and jaw line. It does look a bit like your right lower eyelid has more laxity to where it's rounding out some. That could possibly benefit from a lid shortening/tightening surgery (canthopexy or canthoplasty) but you'd need to see it in person to make sure that's not an effect of the angle of the photo

Bruce K. Smith, MD · Answer

Everyone has some degree of face and eyelid asymmetry. One side of the face is more broad or horizontally oriented and one side is more vertical. Movie stars and celebrities know this and will insist that photographers capture "their good side." You have noticed that one lower eyelid is longer than the other creating more bowing and more of the white of the eye (sclera) is showing between the lid and the  pigmented part (iris). This can happen when Botox is used too aggressively in the lower lid, weakening the muscle and causing the lid to bow. A simple surgical repair (canthopexy) can shorten the lower lid and raise the lateral support point to improve your asymmetry.

Right eye is bigger than my left - which procedure would be able to correct this? (photos)

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