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My left eye is very different from my right, do I have ptosis? (Photos)

The third image is how my eyes look when I smile. Would it be possible to fix the droopy eyelids while fixing my und eye circles as well? I have dark, shallow genetic eye bags.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Kenneth D. Steinsapir, MD
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Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 82 Reviews
Answered on May 30, 2022
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Kenneth D. Steinsapir, MD

What you need here is surgery to address your upper eyelid ptosis. You have a partial central levator disinsertion. That means that the Muellerectomy (so-called scarless, or posterior approach) ptosis surgery will not be right for you because it will adequately repair the upper eyelid issues....

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Thank you for your question and pictures! Every single person is asymmetric throughout their body and this includes the eyes. Asymmetries and eyelid wrinkles can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the...

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Kenneth D. Steinsapir, MD

It is likely that the less heavy eyelid will fall at the time of ptosis surgery on the opposite side, bilateral upper eyelid ptosis repair should be discussed and if appropriate, performed. At a minimum, talking about it before surgery is an explanation. After the fact, it sounds like an excuse....

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A.J. Amadi, MD

Based on your last 2 photos, you have a slight over correction as you eyelid margin (where lashes are coming out) is slightly highe than the top of the cornea. Ideally, it would be sitting about 1 mm below the top of the cornea. You also have slight lagophthalmos (gap between eyelids) when your...

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Kenneth D. Steinsapir, MD

What you need aesthetically and what you are likely to get covered by the NHS will not be the same. In my practice, I would offer bilateral anterior levator resection ptosis surgery with anchor blepharoplasty. The skin on your eyelid platform needs to be controlled to make it smooth. I do not...

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Kenneth D. Steinsapir, MD

That is because you have a complex history. There are few few surgeons who are really going to be able to help you with this issue. You need a detailed in person examination to determine if the muscle that needs to lift the right upper eyelid is working adequately. The function we are looking...

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