Eyelid asymmetry with MGD diagnosis - how can I improve this? (Photos)

Question

My eyes have become very asymmetrical recently and they also feel more prominent then they used to. The left eyelid will completely lose its crease which is really upsetting. My ophthalmologist said I have MGD which is causing swelling of my eyelids and making preexisting asymmetries I had more prominent. And then a med spa told me I just lost weight in my face wnd around my eyes but I am only 24. Ive been treating the MGD for two months now it has only improved a little. What other options are there to fix this?

Kenneth D. Steinsapir, MD · Answer

While you may have MGD (so very common), that is not the basis for your eyelid issues. You have central levator disinsertion of the anterior levator aponeurosis. The anterior levator aponeurosis is the tendon in the upper eyelid that opens the eyes. You have bilateral upper eyelid ptosis with a compensatory eyebrow elevation. The two sides do not look exactly the same because there is always some asymmetry too this process. As the tendon slips internally inside the eyelid, you see a loss of the upper eyelid crease. The fix is upper eyelid surgery to repair the slipped tendon and a restoration of your upper eyelid fold. Generally with an adequate internal reconstruction  of the upper eyelid levator, the eyes will be approrpiately opened, the upper eyelid folds will be restored, and the eyebrows will relax down to a much more natural position for your face. No you are not going crazy. There is help. There is no substitute for a detailed in person assessment.

Eyelid asymmetry with MGD diagnosis - how can I improve this? (Photos)

Answers (1)

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