What causes this asymmetry in my upper eyelids? What could be done to correct it? (Photo)

Question

My right and left upper eyelid are asymmetrical. For as long as I can remember I’ve always noticed something was different but couldn’t pinpoint exactly what it was. What could be causing this? What procedure could possibly correct it? 35f.

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.​

Sam Speron, MD, FACS · Answer

Hello and thank you for your question and pictures!  Upper eyelid hooding can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps answer your question. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

J. Jason Wendel, MD, FACS · Answer

Thank you for your questions regarding upper eyelid correction. Some things can be a little harder to tell just in pictures, but in my opinion, it appears that you have excess skin on your right eye lid. There is a surgical procedure called Upper Blepharoplasty that I believe you would be a great candidate for. To be sure, see two or more experienced, board-certified plastic surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have an upper blepharoplasty. I hope this helps

Bilgen Katipoglu Erenoglu, MD · Answer

Hi, sswb! Thank you for your question and photo. 
As I inspect your photo, I can notice that the upper eyelid crease on your right side is above than the left side. This is most probably caused by the unevenness of the levator muscle and aponeurosis (the muscular system that opens our eyes). The fat tissue on the right upper eyelid is also retracted back. This asymmetry can be corrected by a levator repair operation. At this operation the eyelid crease will be equalized and the retracted fat tissue will be brought to the front.At same time, upper blepharoplasty could be done to left eye for fresh looking

William Portuese, MD · Answer

The asymmetry that your are referring to is genetic,  since there is a left Side of face and right side of the face that come together in the embryo phase. To address the asymmetry would require an upper blepharoplasty. There'll be improvement, but not perfect symmetry

Robert T. Buchanan, MD (retired) · Answer

You appear to have upper eyelid ptosis with the right levator muscle stretched or attached high with the eyebrow keeping lid in the proper position on the eyeball. A standard blepharoplasty will not correct your problem. Make sure you see a plastic or ophthalmic plastic surgeon who is an expert in treating upper eyelids and ptosis.

What causes this asymmetry in my upper eyelids? What could be done to correct it? (Photo)

Answers (6)

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