Hi! I think that my right eye (left on pictures)looks smaller than my left eye. My right eyebrow is also lower than my left eyebrow, and I have more skin covering my lid on that eye. I usually look tired (even though when I am not!) and I am wondering if eyelidsurgery on both eyes would open them up as well as making my eyes appear more equal? Since one of my eyebrows is lower than the other, would you recommend botox to raise it slightly? I am 25 years old. Thanks!
July 27, 2011
Answer: Bony Facial Asymmetry
You have bony facial asymmetry, with right side of your face being smaller than the left side. (Everyone has soms facial asymmetry, ranging from very subtle to grossly obvious.) Botox can help make the brows more symmetric. There are other options as well such as fillers in the left upper eyelid area.
Dr Taban
Helpful
July 27, 2011
Answer: Bony Facial Asymmetry
You have bony facial asymmetry, with right side of your face being smaller than the left side. (Everyone has soms facial asymmetry, ranging from very subtle to grossly obvious.) Botox can help make the brows more symmetric. There are other options as well such as fillers in the left upper eyelid area.
Dr Taban
Helpful
July 27, 2011
Answer: Personal consultations can be very helpful with the right surgeon!
Nattab
What you have is underlying facial skeletal asymmetry. Nothing in this picture suggests "neuromuscular pathology." In addition, you show a tiny amount of right upper eyelid ptosis accounting for what you report as a smaller right eye. Interestingly there is also a compensatory left brow hike. This suggests that the left upper eyelid is also ptotic and the brow hike compensates for this. This subtle effect is very important to note because both upper eyelids are likely to have an element of upper eyelid ptosis. Correctly only the right side might cause the uncorrected left side to fall after unilateral ptosis surgery. Pre-operative testing to assess this situation and in some cases in actually makes sense to operate on both sides.
Helpful
July 27, 2011
Answer: Personal consultations can be very helpful with the right surgeon!
Nattab
What you have is underlying facial skeletal asymmetry. Nothing in this picture suggests "neuromuscular pathology." In addition, you show a tiny amount of right upper eyelid ptosis accounting for what you report as a smaller right eye. Interestingly there is also a compensatory left brow hike. This suggests that the left upper eyelid is also ptotic and the brow hike compensates for this. This subtle effect is very important to note because both upper eyelids are likely to have an element of upper eyelid ptosis. Correctly only the right side might cause the uncorrected left side to fall after unilateral ptosis surgery. Pre-operative testing to assess this situation and in some cases in actually makes sense to operate on both sides.
Helpful