Cause of sudden eyelid asymmetry/extra crease on Caucasian eyes? How to follow-up/fix? (Photos)

Question

I noticed about 10 days ago asymmetry in my eyelids. I thought it was overnight swelling but it hasn't gotten any better. It seems my right eye has an extra crease making the eyelid appear larger. My questions are - Can I expect this to go away ? Could there be a more nefarious cause lurking / should I get this checked out by a doctor? What are some possible causes? If it is permanent, could it be fixed?

Reza Momeni, MD, FACS · Answer

You might be developing right sided eyelid ptosis.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. I recommend you would start your work up by visiting an ophthalmologist.

Christian L. Stallworth, MD · Answer

Thanks for your question and your photos.  It appears that you may have a mild right sided upper eyelid ptosis.  This can occur from a weakening or stretching/thinning of the muscular insertion in the upper eyelid that is responsible for opening or elevating the lid(levator palpebral superioris).  If this is the case, it can be corrected with surgery.  As you mentioned, there are also medical reasons for this to occur.  The only way to know for certain and to devise a treatment plan is for an in-person consultation.  I would recommend visiting with a board certified oculoplastic or facial plastic surgeon with extensive experience in treatment of the upper eyelid.Best wishes.

Darab Hormozi, MD · Answer

For a sudden swelling of one eyelid lasting 10 days, I definitely suggest to see a board certified Oculoplastic surgeon as it could be cause by different factors and needs further evaluation.

M. Dean Vistnes, MD - Account Suspended · Answer

It is normal to not be totally symmetric. We are always our worse critic and this asymmetry is most likely only apparent to you.
Dean Vistnes.
Vistnes Plastic Surgery 
San Francisco Bay Area

Cause of sudden eyelid asymmetry/extra crease on Caucasian eyes? How to follow-up/fix? (Photos)

Answers (4)

Answer: Normal asymmetry

Answer: Normal asymmetry

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.

Cause of sudden eyelid asymmetry/extra crease on Caucasian eyes? How to follow-up/fix? (Photos)

Answers (4)

Answer: Normal asymmetry

Answer: Normal asymmetry

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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.