How to Make my Eyes More Even?

Question

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!

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

Thank you for the question and sharing the photographs. It will help others who have similar issues. Your right eyebrow is slightly lower than your left brow and you do have a little more skin on the right upper eyelid. Your face has the normal asymmetry that we all have. If you are very bothered by the brow and skin, Botox injections would probably be successful at raising both up to match your other side.

Richard J. Bruneteau, MD · Answer

There are multiple anatomic abnormalities that can result in facial asymmetry. These may include deformities of the orbital bones, eyelid soft tissue, and eyebrows. In most cases, they are relatively minor, but in some cases, they may be severe and extremely noticeable. Depending upon the deformity, treatment may or may not be possible. Your pictures suggest that you have boney orbital asymmetry. It appears that on the side of your lowered brow, you also have a depressed orbital rim, flattened cheekbone and excess eyelid skin. These findings are often associated with a condition called plagiocephaly.When this situation arises, it's possible to disguise the asymmetry in some cases. Unfortunately, it's not possible to correct the underlying boney deformity without major surgery. In this particular case, a unilateral brow lift might be helpful, but because of your age, Botox injections might be a better option.If you're considering treatment of your facial asymmetry, it's appropriate to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your age, anatomic findings and aesthetic goals.

Donn R. Chatham, MD · Answer

We as humans all posses faces that are to some degree asymmetrical-(our faces develop in the womb from 2 sides with several groupings of tissues that normally fuse together and they are rarely perfectly equal). So when one brow is a bit higher or one eye seems a bit smaller, for example, it may be nothing more than a "normal asymmetry" that is noticed mainly by the person themselves.     If these issues seem to be changing or worsening or one lid begins to droop, however, it is worth having a careful evaluation by a qualified physician.  When subtle brow positioning is desired, the injectable drugs Dysport or Botox can be a temporary aide in helping a brow raise or lower, and the effects last about 3 months. Surgery designed to raise a brow is more involved and does not always achieve the hoped for long -lasting changes. So don't be overly critical of subtle differences in your face!

Mehryar (Ray) Taban, MD, FACS · Answer

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

Kenneth D. Steinsapir, MD · Answer

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.

How to Make my Eyes More Even?

Answers (10)

Answer: Bony Facial Asymmetry

Answer: Bony Facial Asymmetry

Answer: Personal consultations can be very helpful with the right surgeon!

Answer: Personal consultations can be very helpful with the right surgeon!

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

How to Make my Eyes More Even?

Answers (10)

Answer: Bony Facial Asymmetry

Answer: Bony Facial Asymmetry

Answer: Personal consultations can be very helpful with the right surgeon!

Answer: Personal consultations can be very helpful with the right surgeon!

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.