What’s causing my eyes to look so uneven? Is there any procedures that can help me fix this issue? (photos)

The levator aponeurosis is the tendon of the upper eyelid. It is only loosely held in place in the upper eyelid were it attached over the tarsus. You rub the eyes, blink, etc. the tendon insertion breaks down letting the upper eyelid get heavy. This does not happen symmetrically. The left eyelid is a bit worse than the right side and you have a compensatory eyebrow elevation but this is also worse on the left. You see that the eyebrows are high but the left eyebrow is just a bit higher. At least in this picture it also appears that you have some changes in the outer eyelid corner where the eyelid does not fully rest against the eye surface. The repair for the ptosis will involve the reconstruction of the disinserted levator tendon. If you visit most eyelid plastic surgeons, they will want to perform a conjunctival muellerectomy, the most popular ptosis surgery. The bad news is that this type of upper eyelid ptosis will not fix the levator disinsertion. It all starts with a detailed in person assessment. Your eyes can be your best feature.

Thank you for your question and photo. The asymmetry you’re referring to may be caused by ptosis, causing the muscles that lift your eyelid to weaken and produce a slightly asymmetrical appearance. This can be corrected with blepharoplasty surgery to tighten the muscles and provide a more lifted and symmetrical result.
In some cases, fat may be repositioned around the eye to volumize where needed and create a cohesive result overall. The ultimate purpose is to contour both eyelids to bring them into balance with each other, as well as your other facial features. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and determine the best treatment option for you.

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Eye asymmetry has several causes. Strabismus is when the eyes don't look in the same exact direction at the same time. Strabismus is treated by an ophthalmologist with surgery or corrective vision therapy. Ptosis also causes eye asymmetry; ptosis is drooping of eyelid with various treatment options.

This is a common question. Every single person is asymmetric throughout their body and this includes the eyes. Asymmetries can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. That said, even after surgery I always warn patients that there will still be asymmetry and things will not look 100% perfect even because some asymmetries cannot be corrected unless you reposition bone, remove muscle etc. and some things are just not worth doing. Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid surgery but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope my answer helps and if it does, please take a moment to up vote this answer on the “respond” button on the top right.
Have a great day!