Right eyelid folding abnormal. What can I do to fix this? (Photo)

Question

I noticed about 18 months ago my right eyelid started folding differently. It was mildly bothersome. I noticed when doing a verification photo that it had looked significantly different since then. The right eye seems to stay slightly more open especially later in the day. My left looks normal to me. I initially thought ptosis but it actually appears the R eyelid is more hollow to myself. I had a normal MRI and the optometrist did not offer any valuable insight

Kenneth D. Steinsapir, MD · Answer

In the photograph, the affected eyelid is your anatomic left, not right. If you have reversed the photograph, it could be your anatomic right eye. What we are talking about is the innie eyelid that lacks a fold. This is caused by a central levator disinsertion. The tendon insertion in the eyelid is slipping. You also have a compensatory eyebrow elevation. This suggests that you have latent left upper eyelid ptosis. The fix is eyelid surgery to restore the position of the left upper eyelid anterior levator aponeurosis onto the eyelid tarsus. This is done under light sedation and local anesthetic on an outpatient basis. The crease also needs to be lowered. Unfortunately, very few eyelid surgeons offer this type of surgery. You are likely to need to travel for this work.

C. Blake Perry, MD · Answer

The appearance of the eyelids is due to the height of lids, position of the brows, and the surrounding soft tissue structures. You have an asymmetric eyelid platform which can be caused from numerous etiologies. You really need an in person consultation to figure out the best treatment options.

Mehryar (Ray) Taban, MD, FACS · Answer

Upper eyelid asymmetry can be complex. Improvement is possible but need more detailed evaluation to determine exact treatment.

Right eyelid folding abnormal. What can I do to fix this? (Photo)

Answers (3)

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Right eyelid folding abnormal. What can I do to fix this? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Eyelid Retraction Repair

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