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Ptosis surgery, brow lift or blepharoplasty? (Photo)

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Witty493723Nov 20, 2023

I have always hated my uneven brows and I just noticed my eyelids are uneven so I might have ptosis? What's my best approach for raising brows and making them more symmetrical?

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From board-certified doctors and trusted medical professionals
Dr. Nelson Lee Novick, MD
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Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 120 Reviews
Answered on Nov 21, 2023
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Eyelid asymmetry - do I need ptosis correct, blepharoplasty or filler to treat volume loss? (Photo)

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You need a very fussy crease lowering surgery that entails a very precise ptosis correction, crease lowering surgery, and advancement of the preaponeurotic fat. This is aesthetic upper eyelid surgery at a level of precision only practiced by 0.01% of eyelid surgeons in my experience, which is...

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A.J. Amadi, MD

Based on this photo, you definitely have left upper eyelid ptosis, and depending on whether you exhibit "hering's phenomenon", you may also have right upper eyelid ptosis that is currently being masked. Fixing the left eyelid ptosis, may unmask the ptosis on the right eye. You definitely need...

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Kenneth D. Steinsapir, MD

However, there is really only one way to know. Let the eyelids recovery and see if your issues resolve. If you can handle it, I recommend giving the eyelids 6 to 12 months to recover. Also the steroids can raise the pressure in the eyes. I recommend seeing an ophthalmologist to be assessed for...

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James R. Gordon, MD, FACS, FAAO

Thanks for sharing your question and posting your photo. Your eyelid asymmetry is minimal. Your probably should leave it alone. If you want minimal improvement then conservative blepharoplasty would be the best option. See an experienced oculoplastic surgeon for consultation. Good luck!

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Your crease asymmetry suggests you have a partial central disinsertion of the levator aponeurosis. This is actually going on in both upper eyelids. There is more retraction of pre-aponeurotic fat on the left side. This may have an affect on the position of the upper eyelid margins but that can't...

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