my right eye is higher than the other? (photo)

Question

my right eye is higher than the other. you can tell that the pupil is higher. This bothers me because i look deformed. Any way to fix this or make it better?

Boris M. Ackerman, MD · Answer

Asymmetry of eyelids

Most faces show some slight asymmetry, even in youth.  This is a normal 
condition, and can be seen even in some celebrity faces that we consider 
attractive.  In cases with more noticeable asymmetry there are some specific 
surgical maneuvers that can address the asymmetry.  In your particular case, 
your anatomy and degree of symmetry is perfectly normal.  In this photo your 
look perfectly fine. At this time any surgical intervention is simply not 
advisable.

Michael M. Kim, MD · Answer

I hope that I can reassure you that you do not look deformed. Everyone has facial asymmetry of varying degrees, and your face is very slightly asymmetric. It is doubtful that others around you notice the amount of asymmetry in your face. An interesting thing that I can show patients is how two right sides look in a picture (one side flipped), and two left sides. It can look very odd. Bottom line: I would NOT suggest surgery to try and become more symmetric as this can lead to worse problems.Michael Kim, MD

Sean M. Blaydon, MD, FACS · Answer

I would be very cautious about trying anything surgical.  Based on the photo it appears that it is your left "eye" that is higher.  While we can only visualize your upper face it does appear that it isn't just your left eye that is higher, but the socket, brow and face in general.  Everybody has a degree of facial asymmetry, usually skeletal in origin.  You will note that your left brow is also slightly higher.  Having said that your lid creases, lid contour and upper lid fullness are beautiful and very symmetric.  If you embarked on surgery solely to elevate the right eye so that it is even with the left, by building up the orbital floor for instance, it will change the relationship between the eye and the surrounding structures increasing the fullness in the right upper eyelid, producing asymmetry in the lid creases, and upper eyelids.  It will also do nothing to make the brows more even.  You have noticed relatively subtle asymmetry between your eyes / pupils as a consequence of overall facial asymmetry which we all have to a certain degree. Be very cautious about embarking on any surgery that could ruin the otherwise beautiful appearance of your eyes.

Chase Lay, MD · Answer

this very very slight asymmetry is because your right eye is lower than her left.  You could address this with a reconstructive procedure of the floor of the orbit or eye socket by raising slightly with synthetic plating or even bone or cartilage.  I don't recommend any of this for this slight asymmetry although I have performed the surgery many times for more dramatic cases.

my right eye is higher than the other? (photo)

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