How to Fix One Eye That's Bigger Than the Other?

Question

First off, there are two imperfections on my face that irritate me. First are my eyes; second is my nose. I know for sure that I'm going to get a rhinoplasty done on my nose, but what about my eyes? As you can see, my eyes are uneven. Along with that, one seems to be bigger than the other. Can someone tell me what I need to do to get it totally corrected or to make it look better, please!? Thanks Docs!

Kenneth D. Steinsapir, MD · Answer

From the photo it looks like your right upper eyelid is droopy.  That may account for the difference in appearance between the two sides.  However, what you need is a detailed consultation to assess the two eyes to make sure that this is the basis for why the two sides look different. 
Once this is determined then it is possible to talk about how to make it better.  In Las Vegas, you might consider seeing Steve Leibowitz, M.D. a highly qualified eye plastic surgeon.

Thomas Buonassisi, MD · Answer

Thank you for sharing your concerns! Eye asymmetry, where one eye appears larger or positioned differently, is a common issue that can often be improved. Depending on the cause, solutions may include non-surgical treatments like dermal fillers to balance the area or surgical options such as eyelid surgery (blepharoplasty) for more significant asymmetries. Since you're already planning rhinoplasty, consulting with a facial plastic surgeon experienced in comprehensive facial aesthetics would allow for a personalized approach to harmonizing both your nose and eyes. They can recommend the best course of action to achieve your desired look.

Kyle Kimura, MD · Answer

Good question! 
It's hard to tell definitively from the photo, but it appears that your eyes aren't necessarily different sizes, but rather sit at different levels. This is often because the size and/or height of the bones that make up the orbit are different. I think the first step in figuring out the cause of this would be a CT scan of your face. This can sometimes occur due to under development of one of the sinuses which can pull one eye lower than the other called "silent sinus syndrome". If this is the case, then seeing an ENT who can perform sinus surgery will potentially stop the process of that eye drooping lower and potentially an Oculoplastic surgeon who can put some sort of implant to elevate the height of the orbit to "lift" the eye. 
Hope this helps!

David Hill, MD · Answer

To address asymmetry where one eye appears bigger than the other, several surgical and non-surgical options exist, often tailored to the underlying cause of the asymmetry:
 Blepharoplasty (Eyelid Surgery): Can correct differences in eyelid size or shape by removing skin or repositioning lid folds. This can make the eyes appear more symmetrical.
 Brow Lift: If the asymmetry is due to differing brow positions, a brow lift can create a more balanced appearance.
 Neuromodulator: Non-surgical options like Botox or Dysport can adjust muscle activity around the eyes, subtly improving symmetry.
 Ptosis Repair: For asymmetry due to eyelid drooping (ptosis), surgery can lift the drooping eyelid to match the other eye. Additionally eyedrops like Upneeq can temporarily improve ptosis.
Consultation with a plastic surgeon or oculoplastic surgeon is crucial to assess your specific situation and recommend the most appropriate treatment.

Karan Chopra, MD · Answer

Initial observation ⎯ Based on the visual analysis, it appears that the right upper eyelid might be experiencing droopiness, which could be contributing to the dissimilarity in size between the two eyes. However, it's crucial to emphasize the importance of an in-depth consultation to thoroughly evaluate both eyes. This will ensure an accurate understanding of the underlying factors causing the asymmetry.

Tailored assessment ⎯ I strongly recommend a comprehensive consultation to gain a complete understanding of your unique situation. Through this thorough assessment, we can determine the precise cause of the differing appearances and devise an effective strategy to address it.

Expert guidance ⎯ With my specialized expertise and dedication to achieving harmonious, natural results, I am here to guide you through the most appropriate options for your situation.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com

How to Fix One Eye That's Bigger Than the Other?

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How to Fix One Eye That's Bigger Than the Other?

Answers (9)

Answer: Difficult to Assess Photo

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Answer: Hope this helps!

Answer: Hope this helps!

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