My eyes are uneven, why is that? Is this normal? (Photo)

Question

My right eye looks uneven in addition to my left eye, why? I fee like an alien or something.... Is there anything that can help with that?

E. Ronald Finger, MD · Answer

Thank you for your question and photographs. Yes, your eyes are slightly asymmetrical, but certainly within normal limits. Virtually every human being has some asymmetry of the face, body, and extremities. Remember our heart is on the left, liver on the right, etc., not symmetrical.

If you look carefully at everyone, the right side of most people's face is smaller than the left, and the right eye socket is lower than the left. This is because the actual skeleton on the right side is usually smaller than the left side.

When you look in a mirror, you're obviously looking at the mirror image of yourself. But when you look at a photograph you are looking at reality. This is one reason that people don't like photographs of themselves.

I would not be concerned with the minor asymmetry that you have. It is actually less than most people.

Again, thank you for you question and photographs, and best wishes to you for the holiday season.

Katrinka L. Heher, MD · Answer

Most of us have facial asymmetry which is more noticeable by us rather than others.  I do notice that your eyes do not appear to be focusing in the same direction.  I would recommend seeing an ophthalmologist for an evaluation. Hope this helps and best of luck.

Paul Nazemi, MD · Answer

Thank you for your question.  Based on the photo provided, there is evidence of facial asymmetry.  Facial asymmetry is due to differences in the skeletal and soft tissue structures between the two sides of the face.  In humans, the two sides are never identical mirror images of each other.  However, when the asymmetry is obvious, it can be addressed with non-surgical modalities, such as dermal fillers, as well as surgery when indicated.  The best step for you is to consult with a specialist in this area to discuss the options moving forward.  Best wishes.

Sara A. Kaltreider, MD (retired) · Answer

An ophthalmology or oculoplastics consultation would help you. In this photograph the left eye appears to be looking downward slightly (left hypophoria or hypotropia). An ophthalmologist or oculoplastic surgeon will check your vision, ocular movement, ocular alignment, as well as eyelid and orbital measurements. Many individuals have a phoria, a tendency of one eye or the other to "drift" when not fusing. The eyes may drift outward (exophoria), inward (esophoria), upward or downward (hyperphoria/ hypophoria). This drifting may not cause clinical problems and may be considered within normal range. If a misalignment ("strabismus") is associated with double vision, it can be treated or repaired. The most accurate advice will come from an in-person evaluation. Best wishes.

Michael J. Rodriguez, MD, FAACS -Account Suspended · Answer

Yes, facial asymmetries can be corrected.  In most cases, obvious asymmetry between the sides of the face is due to differences in the facial skeleton. A bit of facial asymmetry is completely normal. Facial fillers or facial implants can be used to correct this type of asymmetry. I recommend you seek a professional consultation with a Facial Plastic Surgeon to see what your options may be.

My eyes are uneven, why is that? Is this normal? (Photo)

Answers (5)

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