Extremely asymmetrical eyes when smiling - please help (Photo)

Thank you for sharing your question and posting your photos. Your asymmetry is not very obvious, so a bit if Botox would probably prevent the eyelid from moving so much. Make an appointment with an experienced oculoplastic surgeon for comprehensive evaluation and treatment. Good luck!

Thank you for your question and for sharing your photos.
It is important to note that asymmetry in eyelids is quite common, as many individuals have asymmetrical eyelids and faces. There can be various reasons for this, particularly when smiling.
These include:1. Asymmetrical bone structure.2. Variances in muscle volume, resulting in differing contractions and relaxations.3. Uneven amounts of excess skin or laxity between the two sides.
To address your specific concerns, I strongly recommend scheduling a consultation with a board-certified plastic surgeon. They will be able to provide you with more insights and guidance specifically for you.
Wish you all the best. Allen Rezai M.D.

Dear Neat267878
Thanks for your question and sharing your photos. Asymmetric eyes have many causes. They include problems with soft tissue or bony structure of eye socket. Depending on the cause treatments vary from surgery to non surgical treatments such as fillers to camouflage and improve the level of asymmetry. I recommend a consultation with an oculoplastic surgeon or a plastic surgeon who can assess your problem and formulate a treatment plan.I hope you find this explanation helpful.
Amir Sadr MD

Although it is difficult to understand from a two-dimensional photo taken from the front angle, it is possible that one of your eye sockets is more front than the other one, making it more prominent, especially when smiling. There is not a logical treatment for this situation because it is mainly about the bone structures. If you can send videos and photos taken from different angle I can evaluate if the condition is so and if there is any other option for treatment.