My eyelid doesn't tuck in when I open it. What are my options? (Photo)

It is not unusual to have mild asymmetries of facial features. Having said that, identifying the cause is the best way to select the most appropriate treatment. A careful in person evaluation might determine what is the cause. If it is intermittent when there is swelling, I would not recommend surgery. If present all the time, a conservative blepharoplasty might help. I recommend an evaluation with an experienced and qualified surgeon. 

Eyelid asymmetry is quite common. In your case, an upper lid blepharoplasty performed on both eyes, with setting of the fold, and probably a small amount of skin removal on the left eye would be the best approach. I do not think there are any other reasonable options.

Your eyelid asymmetry is due to a relative difference in eyelid volume between the right  and the left upper eyelids.This difference is causing you to have an "extra "skin fold of the right upper eyelid. You would benefit from adding a small volume to the right upper eyelid right below the brow.This should fill in the small deficit and achieve improved eyelid symmetry.I would not recommend surgery. 

Based on your pictures, it looks like you might have a little bit of dermatochalasis on the right side. But you also might have some degree of ptosis. The only way to tell is with an in-person consultation with an oculoplastic surgeon. If your symptoms are intermittent, then a Botox Brow lift my help, but that would appear feminine. Alternatively a blepharoplasty/Ptosis repair would be an an option, depending on your exam findings. Good luck! :)

Thanks for your question. There should be dual adheseion between the dermis and the levator tendon. So when you  open your eyes, the tendon is going up with the 2 points of skin. Resultantly your eyelids make triple fold line. If you do the surgery, the adhesion must be released. That's the point. Good luck and have a wonderful day.

Thanks for your question. What your experiencing is a small amount of excess skin on your upper eyelid. This can be corrected by excising (removing) the skin on the side that more skin seems to be present. You may require upper eyelid surgery bilaterally and only a consult would determine that. 

A blepharoplasty performing a conservative skin excision may be the right thing to do. Best to be evaluated in person.

Your left eye does appear to be more prominent than the right which could be playing a role in your problem. You need to see an oculoplastic or facial plastic surgeon for a "live" consultation so that the dynamic motion of the upper eyelids came be evaluated.

Dear Sami.ah,

Thank you for your clinical
post. Eyelid fullness created when the
skin is attached to underlying eyelid muscle.
In some patients there is no eyelid crease and some races particularly
Asian patients this is common. A simple
lift with a blepharoplasty, which reattaches the lid to the underlying muscle
to create a fold. Creating a symmetrical
fold and match it to the unaffected eye or creating two different folds can be
achieved.

I hope this information is of some
assistance and best of luck.

To find out more, please visit the
link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto