Left eye smaller than right eye. What caused this? Can it be fixed? (Photo)

Question

Had upper/lower bleph surgery twice with under eye fat transfer once. Ptosis repair on both eyes, repeat Ptosis repair on left eye on Jan 18, 2024. Now my left eye is smaller. What caused this? Can it be fixed?

Mats Hagstrom, MD (license on probation) · Answer

All people have inherent facial asymmetry.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
Primary facial asymmetry is based on bone structure.
In most individuals the left orbital socket sits slightly higher in the skull than the right side.
This is not universal, but tends to be the case for a lot of people. 
The difference in appearance of your two eyes is most likely a reflection of baseline asymmetry, combined with having multiple eyelid procedures, including unilateral surgery.
Best,
Mats Hagstrom, MD

Left eye smaller than right eye. What caused this? Can it be fixed? (Photo)

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