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Surgery or Botox? I have very uneven eyes (Photo)

Hello, First of all, please do excuse my very dry eyebrows (I've had microblading done and the skin is still recovering). I am really looking for some advice on my very uneven eyes; as you can see one of my eyes is much lower than the other one, and this bothers me greatly. I believe this is acquired ptosis, but cannot be certain of that. As such could you please indicate whether you think botox can fix this? Thank you! PS: I welcome any recs for specialists based in London, UK

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More Ptosis Surgery Questions

Do I have a ptosis, & what would help? I've always had uneven eyes (Photos)

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Kenneth D. Steinsapir, MD

You have bilateral upper eyelid ptosis. The eyes are more round than almond. This suggests that in addition to upper eyelid ptosis, you also have mild disinsertion of the lateral canthus. You also have significant bilateral eyebrow compensation. Your brain is holding your eyebrows up to help...

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My left eye is very different from my right, do I have ptosis? (Photos)

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Kenneth D. Steinsapir, MD

You have bilateral upper eyelid ptosis and eyebrow compensation. The right eyebrow is somewhat more compensated than the left causing the two eyes to look so different. Please be aware that it is so common for eyelid surgeons to mismanage this situation. The most popular ptosis surgery is the...

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Should I get ptosis correction or fillers? (photos)

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Kenneth D. Steinsapir, MD

What you need here is surgery to address your upper eyelid ptosis. You have a partial central levator disinsertion. That means that the Muellerectomy (so-called scarless, or posterior approach) ptosis surgery will not be right for you because it will adequately repair the upper eyelid issues....

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Do I have ptosis? Why are my eyes so asymmetrical? (Photo)

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Sam Speron, MD, FACS

Thank you for your question and pictures! Every single person is asymmetric throughout their body and this includes the eyes. Asymmetries and eyelid wrinkles can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the...

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9 months post-op - can you advise on botched ptosis & blepharoplasty? (Photos)

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Kenneth D. Steinsapir, MD

It is likely that the less heavy eyelid will fall at the time of ptosis surgery on the opposite side, bilateral upper eyelid ptosis repair should be discussed and if appropriate, performed. At a minimum, talking about it before surgery is an explanation. After the fact, it sounds like an excuse....

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Is it possible to get an upper bleph done to remove all this extra skin? (Photo)

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A.J. Amadi, MD

Based on your last 2 photos, you have a slight over correction as you eyelid margin (where lashes are coming out) is slightly highe than the top of the cornea. Ideally, it would be sitting about 1 mm below the top of the cornea. You also have slight lagophthalmos (gap between eyelids) when your...

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