One eye and eyebrow is higher up than the other and has some excess skin around the eyelid. What can I do? (Photo)

As you can see from the photos one eye/eyebrow is higher up than the other and appears to have some excess skin around the eyelid, while the other eye/eyebrow is much lower and has a droopy eyelid. I am serious about having any surgery done, but would like to know what I can do to make them as symmetrical as possible and how much would it cost. Had little asymmetry but recently got alot worse after I got ill and was given prednisolone (steroid type drug) and gained water weight. Mostly gone now.

Doctor Answers 5

Go see an Oculplastic surgeon

You may have ptosis as well as other issues.  I would be evaluated by an Oculoplastic surgeon near you and DO NOT see a general plastic surgeon for this issue. 

Best of luck

Chase Lay MD

Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Multiple issues

 Thank you for your question. It is clear from your photographs that you have multiple eyelid issues. Your left eyebrow can be raised, the left eye lids can have blepharoplasty performed to remove puffiness and both upper eyelids could be elevated with ptosis repair. You would have to be fully evaluated in an Oculoplastic Surgeon's office to see what the actual issues are. Only then could the price be figured out. I hope you find this helpful. Good luck,

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 140 reviews

Cosmetic blepharoplasty with levator resection or advancement

You need gaze views on up and down gaze for best answer to evaluate levator function. Of course, the surgeon who you select should make the call and best approach to your condition.

It will be important to match the lid crease height equally, which may require some skill. Anchoring of upper lid crease with 5-0 or 6-0 clear nylon will be important.

The brow is another item of concern, however, very difficult to correct without scars. Again, your surgeon can best evaluate condition and may suggest coronal brow lift, instead of direct brow lifting.

Small incision anchor sutures are not long lasting, in my experience.

Good luck

Pierre Guibor, MD
New Jersey Oculoplastic Surgeon
5.0 out of 5 stars 1 review

Eyelid Asymmetry

It appears from your pictures that you actually have some ptosis (drooping) of the right upper eyelid.  The brow is elevated on the same side of your face as part of a compensatory reaction--meaning that you are subconsciously raising the brow up on the same side in order to try to lift your eyelid up higher so that you can see better in the right eye.  I would recommend that you consult with an Oculoplastic surgeon for a full workup, who can then determine if ptosis surgery for one or both upper eyelids would be the best option to give you better eyelid symmetry.  Best, Dr. Gregory Lewen

Gregory D. Lewen, MD, FACS
Miami Oculoplastic Surgeon
5.0 out of 5 stars 8 reviews

Right unilateral ptosis

By simply looking at the pictures and without knowing your eye medical history, it appears to me that you have right eyelid ptosis which can cause 3 conditions around the eyes.

1) Right eyelid droop causing the right eyelid height to be lower than the left

2) Supratarsal crease to be higher than the left

3) Right brow elevation due to the frontal muscle hyperactivity trying to compensate to raise your ptotic eyelid (neural reflex)

This can be repaired with an unilateral right ptosis repair to raise the right ptotic eyelid. Sometimes bilateral procedure is performed to make sure the left side doesn't come down. A detailed in-office eye exam is warranted to make sure you are the right candidate.

Johnny Mao, MD, FACS
Orange Facial Plastic Surgeon
4.9 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.