What's needed to fix for more symmetrical look? (Photo)

Question

Was diagnosed many years ago with thyroid eye disease. In remission many years. I've seen doctors who tell me to my face in all seriousness that my right eye looks normal. Had to take a break bc of the devastating psychological effect graves disease had on my self-esteem. Looking for recommendations on what it would take to make eyes more symmetrical. Is orbital decompression needed?

Kenneth D. Steinsapir, MD · Answer

Graves disease is a very challenging condition. Fortunately for many the eye changes are mild and do not require treatment like Tepezza, with its side effects, or orbital decompression. There is no substitute for an actual in person assessment. The graining photos you have posted really don't provide the information needed to address your question.  The photos do not suggest much in the way of proptosis but it is helpful to compare your current appearance to your appearance before the Grave's disease. You do have upper eyelid ptosis and a compensatory eyebrow elevation. That is repaired with anterior levator resection ptosis surgery not orbital decompression. You really do not want an orbital decompression unless it is essential. That does not appear to be your situation.

What's needed to fix for more symmetrical look? (Photo)

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