What could be the cause of my asymmetrical eyes and could it require surgery to fix? (Photos)

Question

My eyes are asymmetrical and I was wondering what could be the possible cause of this and which exact eye has the problem. Also, my left eyebrow is higher than my right side. I don't believe I was born with this because as a kid my eyes looked much more even so I think this has gotten worse as I've gotten older. I have read that this could be ptosis but I really have no idea. I plan on seeing my eye doctor in the future and asking about this but I just wanted to get an idea of what it could be. Also, if this is something that requires surgery to fix, how much would it typically cost? Thank you in advance.

C. Blake Perry, MD · Answer

You really need an in-person evaluation to get an answer to your asymmetry question. The appearance of the eyes depends upon multiple structures including the orbits, eyelids, forehead, and surrounding soft tissue. Best to see an eyelid expert in your area.
Best of luck!

Mehryar (Ray) Taban, MD, FACS · Answer

Eye asymmetry can be complex and due to varying causes including eyelids, orbits, eyeballs, and/or surrounding structures. It is impossible to determine from the photos you submitted. Need more detailed evaluation which can be via video consultation. See an oculoplastics expert.

Michael I. Echavez, MD · Answer

It is difficult to evaluate your eyes with the photos you provided. A picture of your eyes from the front when you are looking directly forward would be helpful.  It is possible that you have ptosis, but I can't tell from your photos.  If you do have ptosis, this is something that can be repaired with surgery.

Soheila Rostami, MD, FAAO, FAACS · Answer

But it appears that you have ptosis and the reason your eyebrow is higher on the side that you have ptosis, it is because you are trying to raise the eyelid with the eyebrow. You need to ask someone to take the photos and you look directly with head held straight in the camera.

What could be the cause of my asymmetrical eyes and could it require surgery to fix? (Photos)

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