What procedure is right for me? My lower left eye area is not symmetrical with the right lower side (Photos)
Doctor Answers 4
For eyelids, it can be difficult to diagnose issues from a still photograph. It appears that you either have orbiculares hypertrophy on the left (treatable with botox or excision) and/or fat herniation (treatable with a lower eyelid transconjunctival blepharoplasty). Further refinement of this recommendation would likely occur at a consult, but those are bother very likely factors.
Lower eyelid bulge
Lower eyelids are difficult to evaluate without palpation to see if the fullness is fat or muscle (hypertrophic obicularis). There will always be lines and asymmetries when the muscles are active so the evaluation should be at rest and not smiling. If there is herniated fat it can be removed from inside the eyelid. If it is a muscle bulge one can very carefully use Botox (temporary) or remove a small amount of skin/muscle with a "pinch" technique beneath the eyelashes. Only a real consultation with a qualified surgeon can help you make this decision.
Bulge under eye likely fat
It appears you have more under eye fat prolapse on one side than the other which can be treated with lower blepharoplasty but best to get in person evaluation by an oculoplastic specialist.
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I would strongly caution you to be careful what you look for.
It is very hard to control a difference that one only sees when the muscles are tensed. This can not be effectively helped with surgery. Botox will weaken the muscle and a very good Botox injector could manage this but the treatment will only last a few months. Fillers may be another away to help this. Get several opinions and do not have surgery, laser resurfacing, or fat grafting for this. It will mess you up and not achieve what you are looking for.
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