Why is the asymmetry of my eyes getting worse? (photo)

Is there anything I can do to fix he asymmetry of my face . . Particularly my eyes? I'm not sure why, but it definitely is getting worse and more noticeable than before. I don't feel comfortable taking pics anymore and worry that people are focusing on that when they are talking to me.

Doctor Answers 6

Thyroid disease likely

Judging from the one photo, it appears that your eyes are bulging, especially the right. Thyroid-related Graves' disease is the most likely cause. You should consult an Oculoplastic (oculofacial plastic surgeon) regarding this condition. Non-surgical option including Botox and specialized eye drops could help you. Surgery should be reserved for vision threatening situations. 


Annapolis Oculoplastic Surgeon
4.0 out of 5 stars 5 reviews

Eye Asymmetry

Dear Jujujetjules.

The fact that you can see white (sclera) above and below your iris (the colored part of the eye) requires that you see a doctor.  Sometimes this can be hereditary and related to significant near-sightedness, sometimes it can be an indicator of thyroid disease, other times it can be because of a congenital lack of attachment of some of the eyelid muscles.  In order to address this situation, a proper diagnosis must be made.  Eyelid cosmetic surgery done without this information can lead to prolonged problems. If you would like, I can see you in consultation.

Best of luck,

Dr. Michelle Yagoda

Michelle R. Yagoda, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Why is the asymmetry of my eyes getting worse?

See an oculoplastic specialist or ophthalmologist for eye evaluation. You may have thyroid eye disease or other, causing eyelid retraction and possibly bulging eyes. See link below.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 61 reviews

Agree with Dr. Martin.

You have upper eyelid retraction.  The most common cause to this is thyroid related orbital disease.  Your internist can test your thyroid function.  The eyelids should be assessed by a fellowship trained oculoplastic surgeon.  They can also discuss with you how this is managed.  I also have information regarding this in my free ebook on eyelid surgery cited below.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Eyelid Asymmetries

I notice quite prominent eyes with the left side in the picture being worse. There is retraction of the upper lids and the scleral white is showing under the upper lid. This is usually not the case; in fact, the upper lid should cover a little of the iris. Sometimes, thyroid disease can be responsible for this and you want to evaluate with your physician. 

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 45 reviews

Eyelid retraction

You have eyelid retraction worse on the left.  This means the lid is too high and you can see white sclera above the cornea.  While you may have had this all your life, it can also indicate possible thyroid issues - especially if you have noticed it worsening.  See an oculoplastic surgeon for an evaluation of your eyelid muscles. 

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 25 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.