Why is one of my eyes still smaller and droopy? The other one appears to have a bigger eyelid. (photos)

Hello,

This could be due to an orbital floor fracture which can be caused by an injury and lead to displacement of eye-socket contents downwards. Do you have any double vision?

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Your right eyeball appears more bulging (or left side more sunken). Best to see an oculoplastic specialist for evaluation. CT scan of your orbits may be needed. Treatment depends on the cause.

The bones behind the eye are very fragile and with impact, break to protect the eye.  A CT scan would establish the diagnosis.  In some cases, a repair of the orbital fracture is not needed.  However, when there is a visible change in the prominence of the eye, it is likely that a repair would be beneficial.  I recommend seeing an oculoplastic surgeon for an assessment.  My free ebook has information about how we repair these injuries.

One of two explanations is likely. One is that since everyone has some degree of asymmetry you have always had this asymmetry and simply not noticed it until the injury caused you to examine yourself in more detail. The other is that the blow caused a fracture to the floor and maybe the inner side of the orbit. This is called a "Blowout Fracture". There is also a possibility the the rim of the orbit might also have a slight fracture. If you suffered any of these injuries you would most likely have numbness throughout your cheek and double vision when you look up or to the side. If you feel you had any of these injuries or damage to your vision see a surgeon with experience treating facial trauma.

Thank you for your question.  Based on the photos provided, there is asymmetry between the two eyelids, and the left eye appears more sunken relative to the right.  The two sides of the face are not exact mirror images and subtle differences can often be noticed. Given your recent history of trauma to the eye, I would follow up with a specialist for a comprehensive exam and possible CT scan to rule out an orbital bone fracture.  Best wishes.