What options do I have to fix eye symmetry issue? (photo)

Thank you for your question. Asymmetry after an orbital floor fracture, especially depending on severity, can be fairly common. Scar tissue and fat loss in the area are just a few potential contributing factors. I would favor small changes using filler, and maybe small surgical maneuvers depending on what needs to be addressed.

It appears that you have mild enophthalmos due to infraorbital volume loss after orbital flor fracture. CT scan can help to establish right diagnosis. Orbital floor repair with plate (if indicated) may provide volume correction? Otherwise, periorbital fat and nano-fat grafts to upper eyelid may create more symmetry. Not sure whether you have ptosis? Good luck.

The difference, at least with this photograph, is not noticeable. This impression may be different than an in person assessment. This photograph does show some darkness around the eyes but this is pretty symmetric on the two sides. The photo shows that you have bilateral upper eyelid ptosis with a compensatory eyebrow elevation. You appear to have a secondary fold in the left upper eyelid and presume that this was the side with the orbit fracture. I recommend being skeptical of surgeons who want to add orbital volume or revise the fracture repair. Please keep in mind that this type of work is not cosmetic and generally will cause a number of down stream changes that will not enhance your appearance. Periocular pigmentation in the lower eyelid can be helped with thoughtfully performed hyaluronic acid filler. The upper eyelids would benefit from anterior levator resection ptosis surgery and an anchor blepharoplasty. Do not let a surgeon talk you into an upper blepharoplasty. They will want to remove your upper eyelid fold and take out your natural anterior orbital fat without repairing the ptosis. This will not make you look younger and better. It will make you look older. Please do not do this to yourself. There is no substitute for a detailed personal assessment. That does not happen in a "Zoom consultation." Your eyes can be your best feature.