Why are my eyes uneven? What is this called? (Photo)

Question

It's been like this since i was a kid. Can it be fixed without surgery? Im pregnant, will my daughter's eyes be like that too ?

Cameron Chesnut, MD, FAAD, FACMS · Answer

Many different situations can lead to uneven eyelids. Some of these can be treated non-surgically and conservatively, even using some very advanced injection techniques with filler or very precise placement of Botox. Some situations truly do require surgery to resolve. 
It is important that you seek a consultation with an eyelid expert to delineate the exact cause and treatment options.
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Robert M. Lowen, MD · Answer

The picture is illustrative of what everyone has, facial asymmetry. In addition there is slight droopiness of the right lid. It is not clear which of these aspects you are inquiring about. With facial asymmetry, one side of the face does not look like the other. It is often most noticeable when the facial skeleton differences make one eye look higher or further from the midline than the other. Your eyelid folds themselves are very even and look like each other. Sometimes surgery is done to make the lid folds look the same on each side, but this is not the case here. The slight droop of the right upper lid over the iris does not necessarily need correcting as it seems to be more related to the lower position of the right bony orbit. If this small detail bothered you, it can be evaluated by a plastic surgeon or oculoplastic surgeon with an interest in ptosis (droopy lid) repair.We all have to learn to live with our imperfections, but it helps to know that facial, body, chest, breast asymmetry are almost universal, if you get in the habit of looking for it.If you ever get a chance to get a Mirror imaging, at a plastic surgeon's office, or with some other software, you can see each side of the face or body, split down the middle and flipped over so the full image is the mirror image of one side put together. It is startling to see how different we are, almost different, unrecognizable people, from side to side.Ptosis can be hereditary, but in the absence of a definite family history with other associated physical changes, it would seem to be of low likelihood.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question and a picture.You appear to have congenital ptosis which may or may not be inherited.  Surgery can correct this after your pregnancy.

To be sure, see two or more board
certified and experienced plastic surgeons to occuloplastic surgeons in your area for a full and complete
evaluation.

I hope this helps.

Mehryar (Ray) Taban, MD, FACS · Answer

You have right upper eyelid ptosis (droopy).  It sounds like it is congenital for you.  There is a small chance that your child will have too.  Treatment is ptosis surgery.  See an oculoplastic surgeon.

Kenneth D. Steinsapir, MD · Answer

Surgery is needed to fix the issues but these is no urgency.  Your heavy upper eyelid is mild.  Having this fixed is entirely up to you and should not be done while you are pregnant or breast feeding.  There is no medical treatment for this.

Why are my eyes uneven? What is this called? (Photo)

Answers (10)

Answer: Congenital eyelid ptosis

Answer: Congenital eyelid ptosis

Answer: You have right upper eyelid ptosis.

Answer: You have right upper eyelid ptosis.

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Why are my eyes uneven? What is this called? (Photo)

Answers (10)

Answer: Congenital eyelid ptosis

Answer: Congenital eyelid ptosis

Answer: You have right upper eyelid ptosis.

Answer: You have right upper eyelid ptosis.

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.