My Eyes Are Different in Size? is There Any Surgery What Can I Do? (photo)

Question

i think i can notice that my eyes are different in size from my childhood pictures. but its getting more and more obvious with years, and the problem is mostly clear in pictures and its really bothering me coz my left eyes is much bigger and has another shape than the right one. what should i do? is there any surgery?

Richard H. Tholen, MD, FACS · Answer

First of all, I agree with Dr. Shumway that you should proceed carefully as you have very pretty eyes by most anyone's standards! Each one of us is our own worst critic, especially if someone else has "alerted" us with a casual or offhand remark about some tiny asymmetry. Bad or incorrect surgery will really mess up your beautiful eyes much more than you think they are "off" now!

	I do see the differences in your eyes, and though I cannot be definitive without a personal examination, feel that this may simply involve lower eyelid repositioning via lateral canthoplasty/canthopexy. Minimal incision and scar, straightforward recovery, and enough improvement that as long as you have realistic expectations (no one is absolutely symmetrical!), this may be just right for you.

	See one or more ABPS-certified plastic surgeons experienced in blepharoplasty, or oculoplastic surgeons (Ophthalmologists with additional training in plastic surgery of the eye) and get several opinions. A consensus should begin to emerge that will help you make an informed decision about whether or not to proceed with surgery, and if so, just what exactly should be done. Best wishes! Dr. Tholen

A.J. Amadi, MD · Answer

Your left eye is set lower than you right eye. The anatomic issue unfortunately is quite a complex problem:  The underlying problem is the skeleton underneath the eyelids. The bony anatomy between the right and left eye sockets is asymmetric. The left eye socket is lower than the right one, and as such, the overlying anatomy of the eyelids, and the eyeball itself is also lower.

	The surgery need to address this problem is quite complex and involved: it involves changing the position of the bones of the eye socket.

	Craniofacial surgeons are the specialists that have the most experience in these cases.

	Children's hospitals usually will have these surgeons on staff. Most major cities will have such hospitals.

	Best of luck.

Robert Shumway, MD - Account Suspended · Answer

Good question regarding asymmetry! Anatomically, where are your existing problem(s)? Your consulting Cosmetic Surgeon will carefully evaluate your bony orbit, the surrounding fat and soft tissues, your eye ball (the globe) itself and associated muscles, your eyelid structures and position, your relevant past history, your family history, and your current expectations. Joy, you already have beautiful eyes, so please proceed cautiously.

Richard Ellenbogen, MD (retired) · Answer

It is fixable but it is complex and maybe above the realm of elective cosmetic surgery. It requires resetting the lid and adjusting the orbit

Brian Windle, MD (retired) · Answer

BOTOX and dermal fillers can often be used to correct small or minor irregularities or asymmetries of the eyes and eye brows. Surgery is for this area would be very complex and the risks would be too high for someone who has very good looking eyes. Granted there is asymmetry present but none of us are very symmetrical. I would recommend trying BOTOX in the left or lower eyelid to see what correction you can get and if you will like the “new” look. I would recommend having a consultation with a Board Certified Plastic Surgeon.

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