How to correct lopsided/hooded eyes? (photos)

This is a common question. Upper eyelid hooding can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

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For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

It appears you are compensating with your left forehead /brow muscles for slight ptosis of your left eyelid. You need an in-person exam to see which muscles are working overtime to see how to correct the problem.

 A mini forehead lift done at the hairline so as not to raise your hairline should be done on the low side. I would not try to lower the high eyebrow. If you try to do this with the endoscopic lift you'll end up with your hairline raised on that side. You need an Irregular Trichophytic approach at the hairline which will not be seen if properly done.

Thanks for the question and thanks for including the photos as well. Yourleft eyebrow is slightly higher than the right and this can be evened out with the proper placement of a toxin such as Botox, Dysport, or Xeomin. You need to make a consultation with a board-certified dermatologist or plastic surgeon to see what all the options are for you. I also notice a tear trough on the right side under the eye, which may be also easily corrected with an HA filler such as Belotero or the new Restylane Silk.

Thank you for your question.  It appears that your left eyebrow is higher than the normally-positioned right side.  The upper eyelid margins seem symmetric and it does not appear that the upper lids are ptotic/droopy.  Although it is impossible to say what is causing the problem simply based on photos, it is certainly possible that your forehead muscles (frontalis muscles) are asymmetric with the left side being stronger or over-active.  If that is the case, a trial of botulinum toxin (Botox) could be tried on the left frontalis muscle to slightly drop the left eyebrow making the eyelied look more even.  That being said, you need to have a consultation with a surgeon experienced in areas of the face, including the brow and eyelids, such as a board certified plastic or oculoplastic surgeon.

I think your left brow is higher and in an abnormal position.  I think there are 2 option:  to raise the right or drop the left.  I think I'd drop the left slightly and raise the right slightly to get you somewhere in the middle.

Just judging from your pictures, it appears you hold your left brow higher, possibly because the left upper lid is slightly droopy.  An in person consultation with an oculoplastic surgeon would be helpful as they could observe your face at rest and in motion to see what is causing the asymmetry.  A small amount of ptosis (droopiness) can be corrected fairly easily, often in the office.

First thing is first, and that is to make the correct diagnosis.This may seem obvious, but all too often it is not given enough credence.This includes making careful measurements in regards to distances between eye sockets, forehead length, brow to lash length, etc., etc.Once an accurate assessment has been made, then an appropriate plan can be created.I recently left a lengthy answer to your previous post.Consider reading my thoughts on that post as well.Best of luck,Mats Hagstrom, M.D.

It seems that what you are experiencing, based on the several photos you’ve submitted, is the reality that we all have a certain amount of asymmetry—some more prominent than others. We are, after all, beautifully imperfect. In fact, there are very few people in the world who are truly fully symmetric.In a case such as yours, my general approach would be to do a blepharoplasty, which is a procedure that shapes the eyelid so that it goes inward, thus ultimately improving the overall symmetry. One type of test that I like to do is the Q-tip test, wherein I use a Q-tip or a little eyelid creasing instrument to push back the upper eyelid skin and see how it would look if you were to have a blepharoplasty. By doing this, I am able to also give the patient an idea of what they will look like so they can decide whether they want to pursue that option or not.Another option you can consider is Botox on the left brow only, however this would create asymmetry when you raise your brows. In addition to that, because you’re still young, it would look a little unusual to have that lack of activity that Botox can cause in that area. You may also not be inclined to have regular Botox injections.To address a case like yours, I would normally perform a cosmetic upper eyelid blepharoplasty, which can be done on one eye, or both. Many of my patients who’ve undergone this procedure are happy with the results they get because of the symmetry that is achieved, and are thus able to do things like put on eyeshadow again. It’s important to keep in mind that it is extremely rare to make someone 100% symmetric due to the fact that we are not only dealing with soft tissue alone, but also with the underlying bone structure as well.So meet with a specialist, learn about these options, and have the eyelid creasing done so that you have a better idea of what the outcome will be. I hope that was helpful, I wish you the best of luck, and thank you for your question.This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.