I have two differently formed eyes. My right eye barely has an epicanthic fold but the left eye does slightly more so and I would like to resolve the asymmetry caused by this. This also affects where the eyelid creases, causing the fold of the left eye to be much smaller than that of the right eye. What manner of surgeries or any other methods are there available to fix this?
April 13, 2012
Answer: Asymmetric Eyelids
This is a challenging question to answer without further information. The information necessary for a proper answer would include your age, gender, and ethnicity. Also a photograph would be very helpful. Based on the probability of who might ask this question, I would assume you are a younger Asian female and I will answer the question making that assumption.
The epicanthal fold is a very tricky thing to operate on. It is my opinion that epicanthal folds should be left alone unless there is a gross abnormality. The risk of a scar-band forming in this area is high and can have permanent consequences. The crease position and shape can be addressed with an upper blepharoplasty. Your success, especially in the long term, will probably be higher using the open approach where an incision is made in the eyelid. It is also possible that you have a condition known as levator ptosis. This will affect the crease position and shape as well as cause a slight (or not so slight) lowering of the eyelid margin where it touches the eye. You may also notice a higher eyebrow on the side where the eyelid is lower.
Frequently the most symmetric result is obtained by doing both eyes but this can be decided in a consultation.
Helpful
April 13, 2012
Answer: Asymmetric Eyelids
This is a challenging question to answer without further information. The information necessary for a proper answer would include your age, gender, and ethnicity. Also a photograph would be very helpful. Based on the probability of who might ask this question, I would assume you are a younger Asian female and I will answer the question making that assumption.
The epicanthal fold is a very tricky thing to operate on. It is my opinion that epicanthal folds should be left alone unless there is a gross abnormality. The risk of a scar-band forming in this area is high and can have permanent consequences. The crease position and shape can be addressed with an upper blepharoplasty. Your success, especially in the long term, will probably be higher using the open approach where an incision is made in the eyelid. It is also possible that you have a condition known as levator ptosis. This will affect the crease position and shape as well as cause a slight (or not so slight) lowering of the eyelid margin where it touches the eye. You may also notice a higher eyebrow on the side where the eyelid is lower.
Frequently the most symmetric result is obtained by doing both eyes but this can be decided in a consultation.
Helpful