40, how can I correct one smaller eye I've had since I was a baby? (Photos)

Question

I’m 40 and have had one smaller eye since I was a baby. my mum said I bleed from the eye as a baby but knows nothing more. When I was around 10 we had a consultation about correcting it in which ( I believe ) they said they could cut into the eye skin to make it bigger but I decided against It, iv had nothing done to correct it . It is noticeable in real life especially if I’m tired but in photos it is accentuated. It’s bothered me all my life. I’d love some advice on what might fix it

Eric M. Joseph, MD · Answer

Ptosis is a droopy upper eyelid that is often congenital. And experienced oculoplastic surgeon should be able to evaluate you and provide a surgical plan to help restore symmetry by opening up the droopy lid. I hope this helps and please do plenty of research before pulling the trigger. Sincerely, Dr. Joseph

Lucian Ion, FRCS · Answer

Hello,

Thank you for your question and for sharing your photographs. Based on the images, it appears that you have upper eyelid ptosis, which is most likely congenital. This condition can cause one of your eyelids to appear lower than the other, resulting in the perception of different eye sizes.

On the side where the eyelid is lower, it is common for the eyebrow to be higher. This happens because the brain automatically attempts to lift the eyelid by recruiting the forehead muscles, causing the eyebrow to elevate.

To address this issue, treatment is typically offered by oculoplastic ophthalmology surgeons and some plastic surgeons with a special interest in eyelid surgery. These specialists can assess your condition and recommend the most appropriate surgical or non-surgical options to correct the ptosis and achieve a more symmetrical appearance.

I recommend scheduling a consultation with an oculoplastic ophthalmology surgeon or a plastic surgeon who specializes in eyelid surgery to discuss your options and develop a personalized treatment plan.

Kenneth D. Steinsapir, MD · Answer

You need a specialty surgical consultant who practices oculoplastic surgery. That is an ophthalmologist who is specialty trained in oculoplastic surgery. While it is clear that one eyelid is heavier than the other, it is also clear that you have ptosis of both eyelids and both sides will need surgery. The plastic surgeon suggesting a frontalis sling is not accurate in my opinion. There is no substitute for a detailed personal consultation. However it is highly likely that the surgery you need is anterior levator resection surgery.

Guler Gamze Eren, MD · Answer

There are muscles on our upper eyelids to keep them open, it is levator muscle. People with weak or absent levator muscles in the upper eyelid, they have congenital ptosis like you. This can be mild, moderate or severe. Techniques which address levator muscle or frontal sling will probably help you. Removing the skin will not solve this case.You should be examined by an ophthalmologist or by a plastic surgeon experienced with oculoplastic surgery.

40, how can I correct one smaller eye I've had since I was a baby? (Photos)

Answers (4)

Answer: Eyelid ptosis

Answer: Eyelid ptosis

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Everything you need to know about Eyelid Surgery

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40, how can I correct one smaller eye I've had since I was a baby? (Photos)

Answers (4)

Answer: Eyelid ptosis

Answer: Eyelid ptosis

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Recommended reading

Everything you need to know about Eyelid Surgery

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