Uneven upper eyelid crease after skin pinch, what would you suggest? (Photos)

Question

I had a skin pinch upper eyelid surgery and now I have asymmetrical eyelids ( left upper eyelid relaxed). What would you suggest?

Zoran Potparic, MD · Answer

It appears that you have eyelid ptosis on one possibly both sides. That is the reason for eyelid asymmetry; preoperative photos should show similar asymmetry. You should discuss this issue with your surgeon and/or seek a second opinion consultation about correction of ptosis. Hope this helps.

Kenneth D. Steinsapir, MD · Answer

Surgeons are accustom to looking at pictures with you in the anatomic position. Commonly people confusingly reverse their photos to reflect what they look like in the mirror. I am going to discuss your eyelids on the assumption that you have not flipped the image and the eyelid with the high crease is your anatomic right eyelid and the more normal appearing eyelid is your left eyelid. The problem here is that there really is not such thing as "skin pinch" upper eyelid surgery. That does not mean that surgeons don't just pinch up skin and resect it. But that means that such a surgeon is ignoring the anatomic problems in the eyelid. Your right upper eyelid has collapsed because you have central levator disinsertion and associated mild upper eyelid ptosis. Do not get talked into having the left upper eyelid fold further resected to look like the right side. What you need is crease lowering reconstruction to reestablish the upper eyelid fold on the right side and I would likely encourage you to have the left side fixed as well. Your eyes can be your best feature.

Mats Hagstrom, MD (license on probation) · Answer

It’s a little bit difficult to interpret what your concern is. Are you saying that a doctor pinching your eyelid left you permanently asymmetrical?
If so, that seems highly unlikely.
100% of people have a symmetry of their face, including the eyesockets and eyelids.
During embryological development, each side of the face develops independently from the other side, and they eventually fused in the midline. Aesthetic ideas do not need to focus on symmetry. The human brain is accustomed to seeing all normal faces as being asymmetrical, because 100% of people are asymmetrical.
If you look at computer generated, perfect symmetrical faces, they have an unfamiliar odd and unappealing appearance to most people. That probably has a lot to do with the fact that we’ve never seen a symmetrical face in real life. Even greater artist throughout history, Inc. facial asymmetry into classic works of art.Perhaps consider re-posting with a little bit better explanation what your concerns are, and what you’re hoping to get answered.
Best,
Mats Hagstrom, MD

Remzi Firinciogullari, MD - Account Suspended · Answer

According to your pictures, there is an obvious asymmetry in between left and right eyelids. Secondary blepharoplasty surgery can be done to fix this issue.

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