Why does one eye appear smaller than the other? (photos)

My right eye seems to be smaller than the left, or it might just be the crease above it that's lower on my right eye. I've seen older pictures & it appears my right eye is a bit smaller, it also might just be that I've been focusing on it a lot lately but I'm not 100% sure which is why I'm asking. I wear contacts and my eyesight is a worse in my left eye. I also close my right eye and look with the left to look at things close up like my phone when I'm not wearing contacts out force of habit.

Doctor Answers 8

Mild ptosis

This is a very common issue. Both of your eyelids are very mildly ptotic (droopy) with the right being slightly more than the left. From a symmetry standpoint, your eyelids are well within the normal range of symmetry. From the photographs it is hard to determine if they have dropped significantly enough for surgical repair. Your use of contact lenses can contribute to the ptosis. You should make an appointment with an oculoplastic surgeon for detailed evaluation in office.

Dooping or assymmetric eyelids

There are many reasons your eyelids can appear asymmetric. First, gradual aging facial changes can cause a subtle difference between the eyes and facial structures, age, contact lens wear, trauma, injury, repetitive rubbing from allergies, thyroid disease etc etc. If you feel it is affecting your vision or progressively changing, it would be best to undergo a thorough history and eyelid evaluation with an eyelid specialist or oculoplastic surgeon. It is helpful to start with your eye doctor to make sure it is not a contact lens or prescription change or ocular surface issue as well.

Malena Amato, MD
Austin Oculoplastic Surgeon
5.0 out of 5 stars 2 reviews

Eyelid Ptosis

There are multiple anatomic abnormalities that can result in facial asymmetry. These may include deformities of the orbital bones, eyelid soft tissue and eyebrows. In some 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.



Your pictures suggest that your asymmetry is probably related to multiple factors. These include bilateral eyelid ptosis which is worse on the right than left side. In addition, you have many findings that suggest boney orbital asymmetry as well.



It's virtually impossible to accurately assess this problem without performing a physical examination. For this reason, it's appropriate to consult a board certified plastic surgeon with experience treating this type of problem. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

One eye appearing smaller than the other

You have mild ptosis (droopy eyelids), which appears to be slightly worse on the right. This is common and may not be impacting your vision. An oculoplastic surgeon could evaluate you and determine if any treatment is necessary.

Matheson A. Harris, MD
Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

Ptosis of the eyelids

You have a ptosis of the upper lids, worse on the right.  So the right eye will appear smaller.  You should see an oculoplastic surgeon who can evaluate your muscle function and decide which type of ptosis repair surgery would be best for you.  You can then decide if you want to do the surgery - it is elective, so depends on how much the droopy lid bothers you.  

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 25 reviews

Eyelid Ptosis

The difference you are describing is related to ptosis of the upper eyelids. This can be from weakening or loss of the levator muscle or Muller's muscle. It is correctable if it's bothersome to you.

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
5.0 out of 5 stars 40 reviews

One eye smaller

You appear to have drooping (ptosis) of the upper lids which is worse on the right side. It can be corrected with a short outpatient surgery.

Why does one eye appear smaller than the other? (photos)

If not history of trauma or disease entities than blame it on your genetics! Look at Mom or Dad to see if there are similar appearances... 

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.