How to make eyes more symmetrical? Is tissue sparing (fat and muscle) blepharoplasty an option in my case?
Answer: You have left sided ptosis The tendon that pulls your left upper lid upward has slightly disinserted and is causing you to reflexively lift your left brow. The upper lid fat is getting pulled up deeper into your eye socket, creating an apparent hollow. The treatment is to reinsert the tendon so that the two eyes are opening symmetrically. The fat needs to be pulled back into the sunken area. The right eye may or may not have the same problem to a lesser degree. One thing to note is that once your ptosis is corrected, your brows will drop to some degree. Some doctors would advocate a simultaneous browlift or in your case, a brow suspension to stabilize the brow and prevent a descent of the brow. A comprehensive exam and a discussion about your goals of surgery would point you into the direction that you want to go.
Helpful
Book a virtual consultation
CONTACT NOW Answer: You have left sided ptosis The tendon that pulls your left upper lid upward has slightly disinserted and is causing you to reflexively lift your left brow. The upper lid fat is getting pulled up deeper into your eye socket, creating an apparent hollow. The treatment is to reinsert the tendon so that the two eyes are opening symmetrically. The fat needs to be pulled back into the sunken area. The right eye may or may not have the same problem to a lesser degree. One thing to note is that once your ptosis is corrected, your brows will drop to some degree. Some doctors would advocate a simultaneous browlift or in your case, a brow suspension to stabilize the brow and prevent a descent of the brow. A comprehensive exam and a discussion about your goals of surgery would point you into the direction that you want to go.
Helpful
Book a virtual consultation
CONTACT NOW March 13, 2017
Answer: Aymmetrical aging of the eyelids My review of your photos shows that you are missing more of the periorbital fat above the left eyelid, leaving it looking more hollow than the right side. I often replace this loss of volume with fat or filler which is done through a small needle. No incisions. Minimal to no recovery. Problem solved. A blepharoplasty can remove the skin excess, but will still leave you more hollow on the left side.
Helpful
Book a virtual consultation
CONTACT NOW March 13, 2017
Answer: Aymmetrical aging of the eyelids My review of your photos shows that you are missing more of the periorbital fat above the left eyelid, leaving it looking more hollow than the right side. I often replace this loss of volume with fat or filler which is done through a small needle. No incisions. Minimal to no recovery. Problem solved. A blepharoplasty can remove the skin excess, but will still leave you more hollow on the left side.
Helpful
Book a virtual consultation
CONTACT NOW
March 12, 2017
Answer: Most of the advice you are getting makes no sense. You have bilateral upper eyelid levator aponeurosis disinsertion ptosis. The disinsertion is a bit more dramatic on the left side. These white line disinsertions allow the levator aponeurosis to retract back in to the orbit. A normal outward upper eyelid fold is an antiform fold eyelid. When the tendon disinserts, the fold collapses and inverts. I call this a synform fold eyelid. These are terms that are analogous to how geologists describe land folds. The fat is all there it is just pulled into the anterior orbit. The solution is not to fill up the sulcus with fillers because this does nothing to fix the underlying problem which is the upper eyelid ptosis. You do not need a brow lift and in fact you are performing your own brow lift due to the compensatory brow elevation caused by the upper eyelid ptosis. A fat and muscle sparing blepharoplasty is the wrong solution. You need structural help in the form of anterior levator aponeurosis advancement ptosis surgery, an anchor blepharoplasty with preservation of the skin, and preservation and redeployment of upper eyelid fat to help reform the natural antiform upper eyelid fold. The surgery will also support your droopy upper eyelid lashes.
Helpful
Book a consultation
CONTACT NOW March 12, 2017
Answer: Most of the advice you are getting makes no sense. You have bilateral upper eyelid levator aponeurosis disinsertion ptosis. The disinsertion is a bit more dramatic on the left side. These white line disinsertions allow the levator aponeurosis to retract back in to the orbit. A normal outward upper eyelid fold is an antiform fold eyelid. When the tendon disinserts, the fold collapses and inverts. I call this a synform fold eyelid. These are terms that are analogous to how geologists describe land folds. The fat is all there it is just pulled into the anterior orbit. The solution is not to fill up the sulcus with fillers because this does nothing to fix the underlying problem which is the upper eyelid ptosis. You do not need a brow lift and in fact you are performing your own brow lift due to the compensatory brow elevation caused by the upper eyelid ptosis. A fat and muscle sparing blepharoplasty is the wrong solution. You need structural help in the form of anterior levator aponeurosis advancement ptosis surgery, an anchor blepharoplasty with preservation of the skin, and preservation and redeployment of upper eyelid fat to help reform the natural antiform upper eyelid fold. The surgery will also support your droopy upper eyelid lashes.
Helpful
Book a consultation
CONTACT NOW
FIND THE RIGHT
TREATMENT FOR YOU
March 12, 2017
Answer: Aging eyes Thank you for sharing your question. Your right eyebrow is dropping, causing extra skin to develop in the eyelid. You are losing fat and structure in your left upper eyelid. There are numerous treatments available. See an Oculofacial Surgeon for comprehensive evaluation and discussion of potential options. Good luck,
Helpful
Book a consultation
CONTACT NOW March 12, 2017
Answer: Aging eyes Thank you for sharing your question. Your right eyebrow is dropping, causing extra skin to develop in the eyelid. You are losing fat and structure in your left upper eyelid. There are numerous treatments available. See an Oculofacial Surgeon for comprehensive evaluation and discussion of potential options. Good luck,
Helpful
Book a consultation
CONTACT NOW
March 12, 2017
Answer: Upper eyelid hollowness and ptosis The asymmetry is from either 1) hollowness in left upper eyelid, or 2) mild left upper eyelid ptosis, or both. Filler injection helps with option 1 and ptosis surgery with option 2. See an oculoplastic specialist for evaluation. See following video and link too.
Helpful
Book a virtual consultation
CONTACT NOW March 12, 2017
Answer: Upper eyelid hollowness and ptosis The asymmetry is from either 1) hollowness in left upper eyelid, or 2) mild left upper eyelid ptosis, or both. Filler injection helps with option 1 and ptosis surgery with option 2. See an oculoplastic specialist for evaluation. See following video and link too.
Helpful
Book a virtual consultation
CONTACT NOW