How can I fix my lazy eye and eye size along with my asymmetrical face? Botox or maxillofacial surgery?

Question

I want to fix my lazy eye that is so evident in photos. My face is also so asymmetrical. I want to look more like the girl in the last few photos, a smaller face with smaller eyes, is that possible to look like someone else after surgery and what procedures could help me look more like this person? Is it possible to make my eyes look like hers and to genuinely look like her ?

Charles S. Lee, MD, FACS · Answer

You have a common condition in which the eyelid opening muscle is slightly separated (ptosis). The correction of this is surgical reattachment of the muscle through a skin incision. This will even out the size of the eye opening and decrease the need to strain your brows to help with your upper visual field. For minor facial asymmetries, the simplest solution is filler into the cheek areas and the hollow areas under the cheeks. Some of photos indicate you would also benefit from nasal surgery to reduce the bridge line.

Zoran Potparic, MD · Answer

You have mild facial asymmetry which doesn't need surgical treatment. Augmentation of the cheek and periorbital area on the smaller side with fat grafts or fillers would help. Possibly lower blepharioplasty? Only on the basis of in person consultation one could give you a more detailed plan of treatment. Lazy  eye should be evaluated by an ophthalmologist. Good luck.

Mehryar (Ray) Taban, MD, FACS · Answer

Eye asymmetry can be complex, dealing with asymmetry with eyelids, eyeballs, and/or orbits. Best to see an oculoplastic specialist for detailed evaluation.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Dean P. Kane, MD, FACS · Answer

Dear 109270, 
Thanks for sharing your photos. Because of the different angles they are difficult to interpret. 
Skeletal variation is common in all people. It occurs around the eyes, forehead, nose, maxilla and internal bones surrounding the eye. At a point where it impacts functionally on your vision or socially in your interactions will you consider the various options. 
Soft-tissue augmentation with fillers will help balance the differences between facial sides and add volume, foundation and projection for the enhancements you desire.Hyaluronic acid clear gel fillers (Restylane and Juvederm families) have different characters to project or volumize unfilled areas.Fat grafting also enhances the atrophy or loss of soft-tissues.Calcium hydroxylapatite is a white paste bone like filler I like to use as foundation to raise the depressed bony ridges. This functions as a injectable bone implant. HA fillers can be layered over them.Firm to hard bone implants can be placed surgically.Craniofacial surgery is required to move, remove and add bone if needed. With significant asymmetry, a CT scan will be required to determine what hard or soft-tissues, where and how much tissue building is required. Please seek consultation with a Board Certified Plastic Surgeon with skills and extensive experience in Aesthetic and Craniofacial surgery or a Oculoplastic Ophthalmology Surgeon for your "lazy eye".I hope this helped. All the best!

Ray Bayati, MD · Answer

HelloThere various non-surgical methods to improve asymmetry and the look. It is the best to see an expert in face sculpting and restoration through non-surgical methods. botox, fillers do help tremendously. All the best

Leonard Grossman, MD · Answer

The amount of facial asymmetry that you have is actually absolutely normal in every individual. You do not need maxillofacial surgery. However, your cheeks which are rather flat, could use an enhancement and in my opinion I believe fat grafting would provide you with natural and permanent results. I hope this helps and good luck from New York City

How can I fix my lazy eye and eye size along with my asymmetrical face? Botox or maxillofacial surgery?

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