Botox for eye asymmetry? My left eye (in these pictures it's the one on the right), has a severe astigmatism.

Question

My left eye (though in these pictures it's the one on the right), has a severe astigmatism which I think has caused slight asymmetry in my eyes (is this possible?). My left eye has always had a squint when I smile and I notice that it looks different from my right eye when relaxed (see photos for reference). Would botox for my left crows feet or something help with the asymmetry in my eyes? Would lasik surgery help the physical asymmetry because it would fix the astigmatism?

Leonard Grossman, MD · Answer

The asymmetry you have in your face is completely normal and actually not very noticeable unless you try to examine yourself under a huge magnifying glass. You should relax and not seek any treatments. Good luck from New York City

Jaime Rosenzweig, MD · Answer

Hi! Thank you for your your great pictures and question. Facial asymmetry is completely normal. The asymmetry in your brows should resolve itself with Botox, without the need to apply more to one side than the other. Good luck!

Marek Kacki, MD · Answer

The facial asymmetry is universal however our visual perception ignores it unless you analyze the face. Very frequently what we see is not the real picture. What we need to learn, and it may be difficult for some, is to see what reality shows us and not what our brain wants us to see. For example, I just took your photo and rotated it 2 degrees counterclockwise. Once the picture is straight you clearly see that the only asymmetry of importance is the shape and level of your brows. You may look at it as: your left brow is higher than the right one OR your right brow is lower than the left one. Furthermore, just slight adjustment, to make them on the same level, corrects visually any perceived asymmetry.How to correct the problem? The same way..either you elevate the lower one or lower the higher one. This can be accomplished in many ways. The simplest - imagine removing very few hair from the upper edge of your left brow at its peak and few hair from the lower edge of the right brow. If your brows are thick enough you can achieve very natural looking illusion of symmetry. The other possibilities is Botox. The next is small amount of filler on the right to create a support for the lateral brow. Next option is an attempt to tighten the skin above your right brow. And of course there is a surgical option.However, I would recommend to start with the simplest and least expensive option. It is truly amazing what you can do without going into serious expense. Also remember that whether to elevate your right brow or lower the left one is up to you. One thing to remember is that excessive elevation of brows always has a negative impact if it goes beyond a certain level. Good luck!

Botox for eye asymmetry? My left eye (in these pictures it's the one on the right), has a severe astigmatism.

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Botox for eye asymmetry? My left eye (in these pictures it's the one on the right), has a severe astigmatism.

Answers (3)

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Everything you need to know about Botox

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