I've always had asymmetrical volume in my eyelids. I much prefer my eye that has less volume and more lid show. Would have a blepharoplasty only on the eyelid that has more volume be a good choice to give my the symmetry I'm hoping for?
August 3, 2024
Answer: Facial asymmetry All people have facial asymmetry. During biological development, the two sides of their face develop independently from each other and eventually fuse in the midline. Facial aesthetics, including a symmetry is primarily based on bone structure. Soft tissues tend to be much more consistent from side to side and from person to person. Your ocular asymmetry is more likely to be related to bone structure than soft tissues. For that reason, a unilateral blepharoplasty is unlikely to create improved symmetry. The exception to this is in individuals who have unilateral ptosis which is a soft tissue condition. The human brain is accustomed to seeing other people with facial asymmetry as being normal. You probably don’t think of your friends and family as people who have facial asymmetry, even though they do. Because people tend to not see facial asymmetry unless it’s severe it’s better not treated. Because the asymmetry is primarily based on bone structure trying to address, it is much more difficult than people anticipate. I think any attempt at a soft tissue correction for a skeletal based facial asymmetry is likely to lead to a disappointing outcome. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
August 3, 2024
Answer: Facial asymmetry All people have facial asymmetry. During biological development, the two sides of their face develop independently from each other and eventually fuse in the midline. Facial aesthetics, including a symmetry is primarily based on bone structure. Soft tissues tend to be much more consistent from side to side and from person to person. Your ocular asymmetry is more likely to be related to bone structure than soft tissues. For that reason, a unilateral blepharoplasty is unlikely to create improved symmetry. The exception to this is in individuals who have unilateral ptosis which is a soft tissue condition. The human brain is accustomed to seeing other people with facial asymmetry as being normal. You probably don’t think of your friends and family as people who have facial asymmetry, even though they do. Because people tend to not see facial asymmetry unless it’s severe it’s better not treated. Because the asymmetry is primarily based on bone structure trying to address, it is much more difficult than people anticipate. I think any attempt at a soft tissue correction for a skeletal based facial asymmetry is likely to lead to a disappointing outcome. Best, Mats Hagstrom MD
Helpful 1 person found this helpful