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Eyelid asymmetry - do I need ptosis correct, blepharoplasty or filler to treat volume loss? (Photo)

Nia2222Nov 9, 2023
Hi, I have noticed that my eyelids are asymmetrical and it is bothering me. I am not sure if this is ptosis in my left eye or is it just the difference in eyelid skin? I am 36. I just don’t know if I need ptosis correction, blepharoplasty or perhaps filler to treat volume loss in my right eye? I just want my eyes to look symmetrical again. Please, can you advise what specialist I should go to? What is causing the asymmetry in the first place? Thank you.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Kenneth D. Steinsapir, MD
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Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answered on Nov 10, 2023
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A.J. Amadi, MD

Based on this photo, you definitely have left upper eyelid ptosis, and depending on whether you exhibit "hering's phenomenon", you may also have right upper eyelid ptosis that is currently being masked. Fixing the left eyelid ptosis, may unmask the ptosis on the right eye. You definitely need...

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Kenneth D. Steinsapir, MD

However, there is really only one way to know. Let the eyelids recovery and see if your issues resolve. If you can handle it, I recommend giving the eyelids 6 to 12 months to recover. Also the steroids can raise the pressure in the eyes. I recommend seeing an ophthalmologist to be assessed for...

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James R. Gordon, MD, FACS, FAAO

Thanks for sharing your question and posting your photo. Your eyelid asymmetry is minimal. Your probably should leave it alone. If you want minimal improvement then conservative blepharoplasty would be the best option. See an experienced oculoplastic surgeon for consultation. Good luck!

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Kenneth D. Steinsapir, MD

Your crease asymmetry suggests you have a partial central disinsertion of the levator aponeurosis. This is actually going on in both upper eyelids. There is more retraction of pre-aponeurotic fat on the left side. This may have an affect on the position of the upper eyelid margins but that can't...

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