Fourth nerve palsy has gone undiagnosed for 36 years. This has caused eyelid and facial asymmetry. Is there help? (Photo)
Doctor Answers 4
I used to live in Louisville so I am glad to help. Your fourth nerve palsy sounds like something for our eye colleagues and I am glad someone is helping you with that. As far as the asymmetry goes, there are changes that can be made. Your photo is not full face frontal so it is a little hard to comment and I also cant tell if the asymmetry is at rest, when moving, or both. Movement asymmetry can be improved with botox, at rest asymmetry can be improved by volumising if it is soft tissue. I suspect however that there may be a skeletal element to your asymmetry. This will require a CT scan and a review by a craniofacial surgeon if it is the case. Hope this helps and that I haven't made your situation more complicated with my answer.
Amazing things happen when distracting aspects of the face are corrected.
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