My Eyes Are Completely Different Size, Shape, Vision? (photo)

I agree that you definitely need an in-person evaluation to determine how to improve the symmetry of your eyelids. In terms of your pupil, a custom made contact lens can definitely help. The lens can be colored to match the shape of the pupil in the other eye and should also help reduce the amount of red eye in photos.

Based on this photo, it is not entirely clear whether it is simply a droopy eyelid [ptosis] which is causing you to have a "smaller left eye", or whether it is possibly the position of the eyeball and the underlying bony eye socket which could be contributing to this asymmetry.

An in-person examination by an oculoplastics surgeon  is very important in your case. The position of the eyeball and the eyelid function can be assessed properly. A CT scan of the face/orbit may be required to rule out underlying bony asymmetry depending on the examination.

You can find an Oculoplastics specialist near you by going to the link I have provided below.

Also, since you have very dark irides, your pupil abnormality is not obvious. Though pupil surgery can be performed, it is likely not worth the risk for you.

Mahalo for your pictures.  There's not much that can be done about the pupil and cat's eye reflex in photos, but the lid margin can be adjusted quite effectively with or without an external incision.  Talk to your surgeon about these options.

You have left upper eyelid ptosis (droopy) due to either inherited or acquired weakness or relaxation of the levator muscle, which is the muscle responsible for lifting the upper eyelid. The droopy upper eyelid makes your eye look smaller. You would benefit from upper eyelid ptosis surgery.  See an oculoplastic surgeon.

Thank you for your question.  You have some indicaitons of lid droop on your left. Ptosis repair surgery will help with eyelid asymmetry.  Consult a surgeon experienced with this procedure.  ALl the best.

You should get a consultation from an oculoplastic surgeon for correction of ptosis.

 

When examining your eyes closely and carefully, you have slight retraction of the right upper eyelid (the eyelid opens too much) and your left eye has slight Enophthalmos (the eye is slightly recessed in the socket) and it makes the crease of the left eyelid deeper and all this makes the left eye look smaller.  An Oculoplastic or Facial Plastic surgeon can evaluate this and may be able to surgically improve the situation.