Can eyelid surgery be done only on one side to correct asymmetry? (photo)

Question

Hello, I was wondering if it was possible to somehow contour my right eye(left on photo) with surgery to have some more symmetry with my left eye? The left upper eye lid seems to have some more fat, not sure if this matters. Thank you so much!

Alan Gonzalez, MD, FACS · Answer

Hello @Ninjaattacks, thank you for your question. When performing an eyelid procedure, it is best to treat the eyes as a whole, because this way you can achieve a real symmetry and harmony between the two eyelids and improve the aspects that allow the best possible result. For more information and recommendations it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos your eye corners are very downward. For improve the symmetry between the eye and give you a more upward, elegant look you may need endoscopic brow lift. It would be more convenient to decide with face-to-face consultation. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

Raffy Karamanoukian, MD, FACS · Answer

It is possible to operate on one eyelid, but true symmetry can be better achieved with bilateral repair to remove the skin from the upper eyelids.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

C. Blake Perry, MD · Answer

You have an increased tarsal platform show on the left upper lid (distance between the lashes and eyelid crease). This is often secondary to ptosis or drooping of the upper lid. This can be improved with surgery to raise the eyelid. If you don’t have ptosis, the hollowness of one eyelid can be improved with filler. You need an in person consultation to discuss your options.

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Ajaya Kashyap, MD · Answer

Thank-you for your query. It is difficult to assess your problem based on your pictures, but you may have a minor degree of ptosis (drooping) of your eyelid. A unilateral eyelid surgery can certainly be done for ptosis or fat herniation, if present. You will need a detailed analysis and assessment by an experienced Board certified Plastic  surgeon, to address all your concerns. All the best!

Zoran Potparic, MD · Answer

It appears that you may have eyelid ptosis, droopy eyelid. Only on the basis of in person consultation with a baord certified plastic or oculoplastic surgeon, that conclusion can be made. Good luck.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Great question. Have you had your eyes evaluated by an Ophthalmologist? You may have a condition known as ptosis. This is when the tissues don't hold the eyelid in a normal position and it can appear "lazy". This requires a different correction than a typical blepharoplasty which removes skin and fat. I would suggest ruling that diagnosis out before proceeding with a blepharoplasty. Hope that helps!

Can eyelid surgery be done only on one side to correct asymmetry? (photo)

Answers (8)

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