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.
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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.
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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.
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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
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,
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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,
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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.
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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
March 12, 2017
Answer: No surprise seeing asymmetry in upper eyelids !! Plan to see a board certified facial plastic or oculoplastic surgeon who has vast experience with blepharoplasty surgery. A careful compilation of upper eyelid surgeries that I have performed over the last 31 years has clearly indicated that 62% of the patients that I have seen have some degree of asymmetry-mostly related to having a slightly asymmetrical eyebrow position-which lends itself to differing appearances of the upper eyelid itself. A careful and experienced surgeon will methodically assess the reasons for asymmetry, and plan accordingly. Some patients may require variations as to how much skin or soft tissue from each lid may need to be resected, and some may require differing levels of eyelid crease fixation to get better symmetry. Do your homework-see an experienced surgeon who enters the eyelid surgical arena with vast experience and great results-good luck to you !!
Helpful
March 12, 2017
Answer: No surprise seeing asymmetry in upper eyelids !! Plan to see a board certified facial plastic or oculoplastic surgeon who has vast experience with blepharoplasty surgery. A careful compilation of upper eyelid surgeries that I have performed over the last 31 years has clearly indicated that 62% of the patients that I have seen have some degree of asymmetry-mostly related to having a slightly asymmetrical eyebrow position-which lends itself to differing appearances of the upper eyelid itself. A careful and experienced surgeon will methodically assess the reasons for asymmetry, and plan accordingly. Some patients may require variations as to how much skin or soft tissue from each lid may need to be resected, and some may require differing levels of eyelid crease fixation to get better symmetry. Do your homework-see an experienced surgeon who enters the eyelid surgical arena with vast experience and great results-good luck to you !!
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