Eyelid Surgery to Make Eyes Look Even?

Orbital dystopia is a term for a difference in the set of the eyeball in the eye bone. It can create the illusion of one eye larger than the other. The eyeball position in the bone is always different from one side to another, in every patient, if you analyze the eye configuration closely enough. There is often a difference in the cheekbone and the jawbone on the same side as the prominent eye. This difference cannot usually be changed completely. However, surgery on the eyelids can create the illusion of more symmetry, within certain boundaries. Often, midface or cheeklift techniques are needed to correct this problem.
It is very important to measure and notice these differences before surgery so patients do not expect absolute symmetry.
It is also important to reduce asymmetries that are bothersome as much as possible. This is obviously an artistic endeavor, so great attention to detail and surgical experience are important to achieve the best result.

It's not unusual for patients to complain of facial asymmetry. Facial asymmetry can be caused by a variety of deformities including abnormalities of the brow position, eyelids and underlying facial bones.Without pictures or a physical exam, it's virtually impossible to determine the cause of your periorbital asymmetry. In the vast majority of patients, asymmetry is related to abnormalities of the facial skeleton, but the soft tissue may be involved as well. The treatment of these conditions will depend upon the causation of the asymmetry.Unfortunately, without more information, it's impossible to make any type of recommendation. For these reasons, it's important to consult a board certified plastic surgeon who can perform a comprehensive evaluation. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Thank you for your question. Many patients see an oculoplastic surgeon for this question. Fortunately, for most conditions causing uneven eyes, there are surgical options. A thorough evaluation by an oculoplastic  surgeon  is essential to determine the problem and create a treatment plan.