Asymmetrical eyelid crease. Is it possible to fix my left to look like my right? (Photo)

Question

My right eyelid crease is a lot deeper than my left, so it gives my eyes an uneven look. Is it possible to fix my left to look like my right?

Mehryar (Ray) Taban, MD, FACS · Answer

Consultation is necessary to determine the cause of the asymmetry. It could be due to underlying eyelid ptosis. Treatment could involve ptosis surgery and/or blepharoplasty.

Charles S. Lee, MD, FACS · Answer

Eyelid asymmetry of your type is most commonly caused by uneven muscle strength. An incision surgery and an adjustment of the muscle tension will be needed. Generally, both eyes will need to be operated on to maximize the chances of symmetry. Surgery on one eye almost never gives as much symmetry as doing both eyes.

Kenneth D. Steinsapir, MD · Answer

You need a surgery for this.  A very precisely controlled anchor blepharoplasty will achieve what you are looking for.  A detailed personal consultation is needed to determine the anatomic basis for your asymmetry and also determine precisely what you are looking for.

Johnson C. Lee, MD · Answer

Thank you for your photo. It is possible to improve symmetry between your two eyelids using a conservative blepharoplasty while maintaining your natural eyelid crease. Asian eyelids require different measurements and suture techniques to maintain a dynamic crease. It is best to have an in-office examination to determine the ideal approach to correct your left eye. Hope this helps!Johnson C. Lee, MD 
Board-Certified Plastic Surgeon
IG: @drjohnsonlee

William Portuese, MD · Answer

The eyelids are almost always slightly asymmetrical, and everyone has some degree of asymmetry.  A very conservative upper blepharoplasty on one side should be able to match 1 eyelid to the other.

Robert Singer, MD · Answer

Your eyelid crease asymmetry can be
cosmetically improved.
Keep in mind, that following the advice
from a surgeon on this or any other website who proposes to tell you what to do and technically how to do it without examining you, physically feeling the tissue, assessing your desired
outcome, taking a full medical history, and discussing the pros and cons of the
proposed operative procedure with you may not be in your best interest. I would
suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for
Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. 
Robert Singer, MD FACS 
La Jolla, California

Asymmetrical eyelid crease. Is it possible to fix my left to look like my right? (Photo)

Answers (6)

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