One of my eyes is dropping. What is causing this/can it be fixed? (photos)
Doctor Answers 8
Asymmetry of the eyelids and orbit
There are several possible explanations for your asymmetry - from normal variation to thyroid issues or sinus problems. I would recommend seeing an Oculoplastic surgeon in Nashville to examine your eyes and check for eyelid retraction (your left), pseudoptosis (your right), and proptosis (left). These observations and measurements can be determined on a visit, and along with your history, you and your doctor can decide whether to pursue additional workup (CT or MRI scans). Best wishes!
Your appearance is not consistent with silent sinus syndrome.
On the other head you do demonstrate bilateral anterior levator dehiscence. You have minimal ptosis but slightly more brow compensation on the left side but the right side is also elevated. In my experience, both sides would esthetically benefit from repair of the levator. The big benefit will be relaxation of the eyebrow position with improved symmetry. I will caution you that there are two types of ptosis repair: posterior and anterior approach. The posterior approach is called a Mullerectomy. It is highly popular for a variety of reasons. In my opinion, that approach is not the right one for this type of situation.
There is no rush here for you to have surgery. You can take your time to find the right surgeon. You need someone who is an oculoplastic surgeon truly specialized in performing aesthetic eyelid surgery.
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Drooping eyelid or retracting eyelid?
Sometimes a small eyelid asymmetry can seem very large given that we communicate with our eyes. it is hard to tell if you are developing ptosis or drooping versus retraction of the contralateral (other side) eyelid. In order to know for sure, it is better to have an evaluation by an oculoplastic surgeon that can distinguish from the two. They may want to test you for systemic issues like your thyroid and myasthenia gravis if there is any question about the symmetry of your eyelids. Best of luck!Dr. Victoria
Under eye hollows?
I do not see any evidence of ptosis of the lids. For your age you do have very significant tear troughs. This is probably a genetic trait. You have decrease support of your globe from below. This will give you the look as you describe as "droopy". You should consider fillers of fat transfer. This should significantly improve the condition you are describing. Thanks for the question.
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