What procedure can help correct my uneven eyelids? (Photo)

Question

Hi, I have issues with my left eyebrow being higher than my right but my left eyelid being lower than my right eyelid. This leads to a slight ptosis in my left eye and contributes to an asymmetrical look. How can I correct this?

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your photograph and question. You have the textbook ptosis. As a result of your left eyelid being ptotic the eyebrow on that side is elevated in order to help lift the eyelid. Corrective surgery of the ptosis would likely correct both issues. See a board-certified experienced oculoplastic surgeon for comprehensive evaluation and proper guidance. Good luck!

Kenneth D. Steinsapir, MD · Answer

You have profound upper eyelid ptosis from central levator disinsertion. The left side is worse than the right side. This is the basis for the compensatory eyebrow elevation. You need an anterior levator advancement ptosis repair with a properly positioned new, lower hard upper eyelid crease and repositioning of your anterior orbital fat. This surgery is performed under light intravenous sedation. There is no substitute for a detailed in person assessment. Do not have so-called posterior approach ptosis surgery (Müllerectomy). That surgery lacks the power to address this situation and will lead to a disappointing outcome in my opinion.

Your eyes can be your best feature.

Your eyes can be your best feature.

Joseph Shvidler, MD · Answer

It looks like you may have ptosis, I would recommend that you see an opthalmologist for this and get a formal evaluation and see if ptosis surgery is an option for you.

Robert T. Buchanan, MD (retired) · Answer

Your entire problem is your ptosis. You have a disinsertion if your elevator muscles, worse on the left. This causes the brow difference as the brow is working to elevate the lids. See a plastic or ophthalmic plastic surgeon with significant experience treating ptosis.

What procedure can help correct my uneven eyelids? (Photo)

Answers (5)

More Eyelid Surgery Questions

WE SEND PRETTY
EMAILS

Answers (5)

More Eyelid Surgery Questions

Droopy lower eyelid. What is the way forward for me? (Photo)

Blepharoplasty botched. What are my options? (Photo)

Droopy eyelids. Would fillers or fat injections help? (Photo)

Want to treat hooded eyes & improve tilt - do I need to go down surgery route? (Photos)

What's better for my puffy under eyes & eye bags, laser lipo or lower blepharoplasty? (Photos)

Horizontal elongation of the eyes? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS