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 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.