I have one eye higher than the other you can see more of the sclera. Is there anything that can be done to fix this? (photos)

Question

I feel like the right eye looks a little droopy but at the same time its higher up than the left eye. It has always been like this and it is more noticeable in pictures but I've learned to smile a certain way to make the eye looked symmetrical to the other but if i have a serious face than you can totally notice it. Is there anything to be done for this eye?

Kenneth D. Steinsapir, MD · Answer

The small amount of inferior scleral show, even the asymmetry, is normal.  The flip side is that fixing this is very challenging.  The photo does demonstrate significant left upper eyelid ptosis.  A detailed oculoplastic consultation with an aesthetically oriented surgeon should be able to get to the precise causes of your concerns with appropriate recommendations.  It would be interesting to understand if the two eyes are the same size of if one projects more in the face.  It would interesting to understand how the left upper eyelid ptosis affects your perception of your appearance.  I suspect that you might fit into the body dysmorphic spectrum.  That does not mean you don't have an issue.  What it means is that there is a good chance you and your surgeon are not going to understand each other. The last thing you want is the wrong fix for this issue.

Joseph A. Eviatar, MD, FACS · Answer

It is difficult to evaluate from a photograph but it looks like you may have ptosis (droopy upper eyelid) which is causing the appearance of asymmetry.  Surgery is usually the treatment of choice and can be very effective when performed by an experienced oculoplastic surgeon.  Sometimes small amounts of botox can be used (off label) to slightly relax the muscles around the eye and even out the appearance of more sclera on one side but only in consultation can you determine if this is an option for you.  Filler is even an option to support a droopy lower lid at times but that doesn't look like what you are troubled with here.   Find an experienced surgeon in your area to review your options.Best of luck!

Katherine A. Lane, MD · Answer

i think it is difficult to tell what is actually going on from this one photo. a consultation with an oculoplastic surgeon would be your best next step. on exam it can be determined if your eyes are fixating together, or if perhaps the left eye drifts up slightly making the left upper lid look droopy and the left lower lid look retracted down. there are various surgical procedures that might be offered, but which one would be dependent on the exam.good luck

Gregory Park, MD - Account Suspended · Answer

Based on your photo it appears that you have a condition called ptosis in the eye that looks a bit droopy. A surgical procedure to reset the position of a structure called the levator aponeurosis in the upper eyelid can help to make your eyelids appear more symmetric. An evaluation with a local plastic surgeon or oculoplastic surgeon could provide you with a recommendation for surgical correction.

I have one eye higher than the other you can see more of the sclera. Is there anything that can be done to fix this? (photos)

Answers (4)

Answer: Unilateral ptosis causing a droopy eyelid

Answer: Unilateral ptosis causing a droopy eyelid

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Everything you need to know about Eyelid Surgery

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I have one eye higher than the other you can see more of the sclera. Is there anything that can be done to fix this? (photos)

Answers (4)

Answer: Unilateral ptosis causing a droopy eyelid

Answer: Unilateral ptosis causing a droopy eyelid

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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.