Why is one of my eyes smaller than the other, especially when I smile? Self conscious about this. Any way to fix it? (Photo)

Question

Ive noticed that for the past few years my left eye is generally smaller when I smile. I don't know if it's very obvious in real life because no one has pointed it out but it's become more and more apparent in the recent years. Is there any way to fix this as I am 24yrs old and not sure about the underlying problem? I wouldn't even know who to begin seeing about this issue. Any advice or help would be very useful. Thank you!

Reza Momeni, MD, FACS · Answer

Your photos are not head on or straight (head is tilted or turned) from what I can gather your left eye muscle seems to be working more actively.  If I'm correct, Botox is often an option that you can explore for treating the operative muscle.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Brett S. Kotlus, MD, MS, FACS · Answer

It's possible the eyelid closing muscle is working more on left side, making that side appear smaller when you smile.  From your photo, it's also possible that you have mild eyelid ptosis on the left which is frequently associated with contact lens use when it occurs in young people.  While it is common to have mild or even moderate facial asymmetry if it bothers you then it may be worth pursuing a consultation with an oculoplastic surgeon who can give you a more specific diagnosis and offer expert advice.

Mehryar (Ray) Taban, MD, FACS · Answer

You likely have left upper eyelid ptosis. See an oculoplastic specialist for evaluation and possible eyelid ptosis surgery. See following website link. Skype consult available.

Joel E. Kopelman, MD, FACS · Answer

Thank you for your question. While it is unlikely to make an accurate diagnosis based on your pictures, it is possible that your left eye muscle is working more when you smile causing it to seem smaller. You might have mild left eyelid ptosis but this can be treated. You should be aware that a little asymmetry in the eyes is not uncommon but if you do want to get this fixed, you could consider an eyelid ptosis surgery after complete evaluation and diagnosis.

Paul Nazemi, MD · Answer

Hello and thanks for your question.  Causes of eyelid asymmetry range from malposition of the lids to bony or soft tissue asymmetry.  See an oculoplastic specialist for a complete examination and to learn more.  Best wishes.

Why is one of my eyes smaller than the other, especially when I smile? Self conscious about this. Any way to fix it? (Photo)

Answers (7)

Answer: Possible mild eyelid ptosis, asymmetry

Answer: Possible mild eyelid ptosis, asymmetry

Answer: Eyelid asymmetry

Answer: Eyelid 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.

Why is one of my eyes smaller than the other, especially when I smile? Self conscious about this. Any way to fix it? (Photo)

Answers (7)

Answer: Possible mild eyelid ptosis, asymmetry

Answer: Possible mild eyelid ptosis, asymmetry

Answer: Eyelid asymmetry

Answer: Eyelid asymmetry

Browse related questions

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.