Could I have Silent Sinus Syndrome? (Photo)

Silent sinus syndrome refers to sinus disease which typically affects the maxillary sinus (the one under the eyes). The opening for this sinus gets blocked and secretions build up. Also, we think that a negative pressure occurs in the sinus and it contracts in volume. This may mean that the eye lowers and gets deeper. In particular, people do not notice any sinus problems. Hence the term 'silent'. With respect to your specific concerns, asymmetry is present in nearly every individual but I don't see an obvious suggestion of a silent sinus appearance from your photos. However, sinusitis can cause a difference especially if there is associated swelling of the overlying facial tissue. The mainstay of therapy involves nasal steroids with saline nasal rinses also being helpful. As regards the 'silent sinus' side of things, this will be evident on a CT scan and your ENT surgeon would have been able to advise on this if it was present on the scan. Best Wishes