Why is my right eye lower than my left eye?
Doctor Answers 7
One eye higher than the other
One of your eyelids is drooping, and at your age you were probably born with it, which is called congenital eyelid ptosis
I can certainly help you with your question. To give you a little about my background — I am a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I was primarily trained in eye surgery, after which I pursued Fellowship training in plastic surgery of the eyes and face. Under this specialty, we address problems that affect the upper eyelids, lower eyelids, the orbit, the bones around the eyes, and the tear duct system.
To answer to your question, it seems you have a condition called ptosis. Ptosis refers to something that is drooping, and when we talk about eyelid ptosis, it means that the eyelid is drooping. At this point, the next step would be to determine whether the ptosis is congenital or acquired. Congenital means that you were born with ptosis, and acquired ptosis means it developed later on. I would normally ask to look at some old photos to see whether you’ve always had this trait. In any case, if you don’t have any other medical issues, and if you’ve never had any type of trauma, then it is possible you are dealing with congenital ptosis.
For those with congenital ptosis, this means the levator muscle, or the muscle responsible for lifting the eyelid, did not fully develop. This also means the muscle does not fully contract nor does it fully relax. When I perform an assessment for ptosis, I will usually have the patient look down and up so that I can assess the muscle function and position of the eyelid. Ptosis can be classified under mild, moderate, or severe depending on the level of muscle function. When that has been determined, the next step is determining what kind of ptosis surgery to perform.
Ptosis surgery entails manipulating, adjusting, and shortening the muscle so the eyes open better. If the muscle does not work that well, we will have to bypass the muscle by doing a procedure called the frontalis sling. In my practice, when I perform ptosis surgery on a patient of your age or older, I usually do it under local anesthesia with LITE™ sedation. To check the eyelid height, position, and symmetry, I will actually have the patient sit up during surgery just to make sure everything is optimally positioned.
I recommend you meet with a specialist so you can have a better understanding of what is causing your right upper eyelid to be droopier than your left eyelid. I suggest you meet with an oculoplastic or an oculofacial plastic surgeon who has a lot of experience with ptosis surgery, and look for one who performs Asian eyelid surgery. Keep in mind that ptosis surgery is deceptively complex. It may seem to be just like typical eyelid surgery, but it is far from routine. Surgery that deals with the muscles of the eyelid is very complicated, and achieving symmetry can be a big challenge. It is important to consult with someone who has a good understanding of these anatomic issues so that you can get the best result possible.
I hope that was helpful and I wish you the best of luck!
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You have a facial asymmetry.
Why is my right eye lower than my left eye
There would be some rather minor aesthetic intervention that could be done to minimize the asymmetry, i don't suggest any major intervention like the one's we do for more severe cases,
you are welcome to a visit to discuss this further and what could be done to achieve more facial harmony for you
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.