Will a blepharoplasty help eyelids that don't match? (Photos)

Question

I have two very different eyes- in photos it almost appears like one is significantly bigger than the other. One has is much more tapered while the other is like a triple lid. Is symmetry able to be achieved through a bilateral bleph if there isn't any to start with? Additionally, is it possible to just do it on one eye so it matches the other?

Kenneth D. Steinsapir, MD · Answer

They will recommend bilateral upper eyelid surgery and remove both upper eyelid folds as a means of improving symmetry. I strongly advise against such an approach. This will both creases to be high and the upper eyelids hollow. That will make you look skeletonized and older not more youthful. What is going on is that you have a partial levator disinsertion in the left upper eyelid. This allows many of the layers that make the levator tendon to retract into the anterior orbit. When the tendon does this, it also takes some of the anterior orbital fat with it. That fat is needed to to fill the upper eyelid fold. The tendon can be reconstructed so that the split levator is repaired and inserts into the upper eyelid crease at the level of the superior eyelid crease. This crease can be make where it is needed. When the tendon is advanced and reattached to the tarsus, the anterior orbital fat can also be advanced. This volume fills the upper eyelid fold making the repaired side match the right side. Your eyes can be your best feature. Don't get bad eyelid surgery from well-meaning surgeons who don't really understand how to fix this. Generally fixing the eyelid will also allow the left eyebrow to relax down to better match the left eyebrow. Your eyes can be your best feature.

William Portuese, MD · Answer

A blepharoplasty can improve the asymmetry, but they'll never be perfect. Differential amounts of skin and fat can be removed make your eyelids look more symmetrical. This procedure can be performed under local anesthesia as an outpatient procedure.

Will a blepharoplasty help eyelids that don't match? (Photos)

Answers (2)

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