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For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
Your left upper eyelid is slightly lower than the right. First, you need to see a specialist to determine the cause of the lid asymmetry. Surgery to tighten the upper lid can then restore the symmetry. Best to see an eyelid specialist.
The left upper eyelid is more ptotic (heavier) than the right in the photo. If you reversed your photo (don't do this when communicating with surgeons) reverse the sides I will mention. The left upper eyelid fold is higher and has less volume than the right side. That is consistent with what happens to these eyelids with ptosis. That also means in my opinion that you would do best with a an anterior levator ptosis surgery on both sides. A detailed in person assessment is needed to determine how much eyelid platform skin should be controlled. Understand that most of my oculoplastic colleagues will offer you a posterior approach ptosis surgery. I do not believe that will be the right surgery for you even if you respond to the neosynephrine test. Getting these exactly right is fussy and very hard.
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
The appearance of your eyelids depends upon the lid height, brow position, and surrounding soft tissue. Often one eyelid is lower than the other and your brow tries to compensate by pulling up more on the droopy side. This creates an asymmetrical eyelid platform. Surgery is often to use to...