Which procedure would correct droopiness in the area above my right eye and give me a more symmetrical look? (photo)

Question

About a decade ago, I fell and cut the skin above my right eye open. I’m assuming it didn’t heal correctly, as I have prominent drooping in that eye. I tried a blepharaplsty but it just thinned the skin on my eyelid, and not the droopy skin above it. I sought out another doctor and he didn’t recommend anything surgically, especially with me only being 19. It bothers me deeply mentally and physically. I’ve tried Botox once and it didn’t work, but I’m thinking of trying filler or Botox again

Eric M. Joseph, MD · Answer

Ptosis is a droopy eyelid condition that is usually congenital, however, it can be acquired. Since you appear to have a bit of ptosis on both sides, please consider meeting with a reputable oculoplastic specialist who is familiar with techniques of ptosis repair. Thank you for your question. Sincerely, Dr Joseph

Bruce B. Kadz, MD, FACS · Answer

It looks like you have ptosis on the right side that is causing the asymmetry. That should be addressed by an experienced surgeon in ptosis repair.

Mats Hagstrom, MD (license on probation) · Answer

My best recommendation for you is to consult with senior oculoplastic surgeons in your community.
Look for those who have at least 10 to 20 years of practice.
Consider having a couple of consultations to make sure providers are saying the same thing.
It’s hard to assess ptosis in a single picture because if you change your visual angle, it changes how much of your pupil is covered by your upper eyelid.
All people have facial asymmetry, and that asymmetry is primarily based on bone structure.
Most people don’t see asymmetry in other people.
For example, you probably don’t see your friends or family as having a symmetry in their faces until you look carefully and all the sudden you realize thateverybody has a face that’s totally different on one side compared to the other.
The human brain is accustomed to seeing a symmetry as normal and that’s why it never stands out unless it is severe.
I think your right eye socket sits a little higher in your skull than the left side, and this may be contributing to your facial appearance.
 Everybody has a face that’s totally different on one side compared to the other.
The human brain is accustomed to seeing a symmetry as normal and that’s why it never stands out unless it is severe.
I think you’re right eye socket sits a little higher in your skull than the left side, and this may be contributing to your facial appearance.
 It’s very important to understand if the problem is related to soft tissues and if it really is a problem in the first place.
In your case, you need an assessment to see if your visual field is blocked by the position of your upper eyelids.
We can’t tell from a single picture.
What was the background of the person who did your blepharoplasty?
For unique or complex assessments and procedures, especially unilateral surgery it may be worthwhile seeking the assistance of an oculoplastic surgeon who does only eyelid surgery.
The default should be to not have an operation unless it’s clearly indicated.
Likewise, it’s very important to have a very good understanding of what the problem is before prescribing an operation.
If your blepharoplasty didn’t fix the problem then perhaps your first doctor didn’t understand what the problem was.
When in doubt, slow down and schedule more consultations.
Recognize that surgical intervention is potentially irreversible.
If you’re concerned is purely Aesthetic, then I recommend no more operations.
If you do have true ptosis with blocked peripheral vision, then surgery may be indicated
Good luck,
Mats Hagstrom MD

Which procedure would correct droopiness in the area above my right eye and give me a more symmetrical look? (photo)

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Which procedure would correct droopiness in the area above my right eye and give me a more symmetrical look? (photo)

Answers (3)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.