Is this silent sinus syndrome or do I just have droopy eyelids? (photos)

Thanks for your photo and interesting question.  It is difficult to determine a diagnosis from just one photo, but your orbital asymmetry could be a result of several conditions.  The upper lid on the left side of your photo has a thicker and higher pretarsal skin showing with a slightly lower (ptotic) lid margin in relation to the pupil.  The eyebrow is slightly higher than the other as your facial muscles accommodate for the droopy lid position.  This is likely due to past trauma, a congenital condition, or developmental weakness of the levator muscle support.  An evaluation for enopthalmos from a Silent Sinus Syndrome can only be done by examination in consultation with a qualified surgeon, and this is not possible to determine from your photo.

If there has been a change in your eye position (with right eye fallen lower), then it could be silent sinus syndrome. Otherwise, it is likely inherited eye/orbit asymmetry along with eyelid asymmetry. See an oculoplastic specialist for evaluation.

Dear Daisy,Thanks for your questions.There is some asymmetry of your eyelids.  I agree that you may have some ptosis of one of your eyelids, which is a fairly simple procedure to correct.  Your appearance is unlikely to be due to your sinuses.Aloha,Shim Ching, MD