Eyelid dropping - how can I resolve this? (Photo)

Question

Hello! I had always had one eye slightly smaller than the other but it was barely noticeable. Now I am noticing it much more and I believe it is too obvious. So a few questions: 1- I have been getting Botox very regularly since I was 28, I am now 33. Could it be related? 2- if it is, will taking a break from Botox fix this? 3- Botox aside, what other options do I have to resolve this ? Any feedback is helpful.

James R. Gordon, MD, FACS, FAAO · Answer

Sorry, but I cannot see your photo. Improper placement or migration of Botiox can lead to a droopy eyelid, but will not produce long term drooping. There are several approaches to elevate your eyelid depending on the specific requirement. See a board-certified oculoplastic surgeon for comprehensive evaluation and discussion of treatment options. 
Good luck,

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Lucian Ion, FRCS · Answer

Thank you for your question.

Eyelid ptosis is not related to Botox but if you are using Botox to the crow’s feet are to raise the eyebrows position, the change in position of the eyebrows can make the ptosis more noticeable.

Treatment for eyelid ptosis is more commonly provided by oculoplastic ophthalmology surgeons but some plastic surgeons and facial plastic surgeons also have an interest in managing this condition. It involves surgical treatment, most often carried out through a blepharoplasty access incision.

Mats Hagstrom, MD (license on probation) · Answer

All people have substantial facial asymmetry.
This is primarily due to facial skeletal structure.
Sometimes there may be differences in soft tissues, but the majority of facial asymmetry is based on bone structure.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
 The human brain is accustomed seeing substantial amount of facial asymmetry as being normal. Because asymmetry is normal. 
You probably don’t see friends and family as having asymmetrical faces.
You probably see it in yourself, but you don’t see it in other people.
This is because the brain is accustomed to seeing asymmetry as normal because it is normal.
Without including pictures, we can’t begin to make an assessment.
If you look at computer generated images of symmetrical faces, you may notice they have an odd and unfamiliar appearance.
That is because you’ve never seen a person with a symmetrical face.
In fact, the entire body is a symmetrical in just about every way.
People are either left-handed or right handed, and almost all internal organs are placed unilaterally or asymmetrically. 
The human body is not symmetrical.
Best,
Mats Hagstrom MD

Eyelid dropping - how can I resolve this? (Photo)

Answers (4)

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