Surgery to Balance Eye Shape?

My left eye is noticeably bigger than the other, and it wasn't like this when I was younger because I've seen pictures. I noticed the big difference in my teens. The eye even looks weird and way more different than my right eye, especially in certain angles. I do wear glasses and it probably has to do with a vision problem that I have. So I was wondering, can surgery correct it by pushing it further in or anything to make it the same size as my right?

Doctor Answers 11

You appear to have a droopy left eyelid (ptosis).

 Maybe right and left are reversed in the photo, but you seem to have ptosis (pronounced "tosis") of your left upper eyelid.

You should consult a board certified ophthalmologist or oculoplastic surgeon to determine the cause, and to discuss possible repair. 

Good luck, and best regards.


West Orange Facial Plastic Surgeon
4.9 out of 5 stars 396 reviews

Eye asymmetry

Eye asymmetry is normal. Yes, I see from the photos that the left eye has a higher lid fold. This may be related to eyelid ptosis and its ability to raise your eye lid. Or it just may be normal differences between the two sides. It is best to be examined to make sure that this is not the case. If it is, then better symmetry can be achieved with surgery to correct this problem.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Personal consultation is needed to accurately assess your issues

Dear Liz

It is interesting that you feel that your left eye is bigger than your right eye. What you are seeing is a larger left upper eyelid platform-the space between the upper eyelid lashes and the upper eyelid sulcus.

The real problem here is drooping of the left upper eyelid. This condition is called upper eyelid ptosis. It is likely that there is slippage of the left upper eyelid tendon insertion called the levator aponeurosis. Fixing this involves opening the eyelid and reattaching the insertion of this tendon. Interestingly when this is done fat is often brought done into the upper eyelid sulcus with this procedure helping to make the subbrow area look more full as well. Please recognize that it is possible that there may also be a degree of the same issue in the right upper eyelid.

This is assessed at the time of a detailed eye plastic surgery consultation. Because of the specialized nature of your problem, you are best seeking care with a fellowship trained eye plastic surgeon. The American Society of Ophthalmic Plastic and Reconstructive Surgery maintains a website that lists this specialists by region to assist you in finding someone: ASOPRS.org

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Eye Asymmetry

It's not unusual for patients to have some degree of orbital asymmetry. Unfortunately, the degree of orbital asymmetry that you describe is definitely abnormal.



The presence of progressive unilateral bulging of the eye should definitely be evaluated by a surgeon with experience in this area. This problem can occur for a variety of medical reasons including thyroid disease and tumors. For this reason, an evaluation should be performed as soon as possible. Under these circumstances, imaging studies including CT scans may be necessary.



Depending upon the cause of the problem, a variety of treatment options may be available. In some cases, expansion of the boney orbit may be necessary to accommodate the globe.



Irregardless of the causation, it's important to consult a board certified plastic surgeon with experience dealing with this type of problem. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Ptosis

The left upper eyelid appears to be ptotic. An oculoplastic surgeon can correct this problem with one of a few surgical options. In office evaluation is necessary to determine the appropriate course of action. 

Surgery can make eyes more symmetrical

There are some very noticeable asymmetrical differences in both eyelids according to the picture that was shown. The small amount of ptosis on the patient’s left eye could be addressed by opening the eye more to partially be more symmetrical to the right eye. Additionally, fat grafting through the upper lid orbital sulcus can be performed to give more fullness. It is impossible to get both of these eyelids to be perfectly symmetrical.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Left eyelid ptosis

As you can tell from the other answers, you appear to have a condition called "ptosis" (pronounced tosis) of the left upper lid.  Generally an ophthalmologist who specializes in eyelid surgery is best to fix this problem and make your eyes look more symmetrical. 

Ptosis of Upper Eyelid

Hi LisaLatina,

You appear to have ptosis of your left upper eye lid.  You should consult with the best opthalmo-plastic surgeon you can find who has experience in ptosis correction.

When performed properly, the results are symmetric and beautiful.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Assymetry is common

In nature there is no such thing a perfect symmetry. Just like it is common to have one breast larger than the other or one leg longer, this can happen with your facial skeleton. The boney orbit or eye socket, around your left eye is probably more shallow than the right one. Because you said this is something that you did not have when you were younger, there is a small chance that you have developed a slight degree of exopthalmus or prominence in this eye and you may want to be seen by an Ophthalmologist to rule this out. If your problem is just an cosmetic one, I would not recommend surgery. You have pretty eyes that are almost the same.

Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon
4.1 out of 5 stars 8 reviews

Changing Eye Shape

The first step is to determine why your eyes are different shape, especially since you feel it has changed. You should be evaluated by a specialist in Oculoplastic surgery or Facial Plastic Surgery. There are many possible causes of the changes you are seeing--eyelid muscle weakness, changes in the size of the eyeball, changes in the bone of the eyesocket, tumors or growths in the eyesocket etc.

Evaluation may involve CT scans of the eyesocket or other testing. Treatment is entirely dependant on the diagnosis. I urge you to have this evaluated by a specialist as soon as possible.

J. Randall Jordan, MD
Jackson Facial Plastic Surgeon

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.