20 year old with drooping/asymmetrical eyelid. What can be done? (Photo)

Question

I've noticed that my left eyelid (with the beauty mark underneath) is lower than my right and the shape and taper of the end is different. I'm not sure if this is a genetic trait or if it has been acquired. I also have been using a prostaglandin analogue to make my lashes longer and have read that it can cause periocular changes such as ptosis and fat loss. Any insight and possible solutions would help. Im very concerned and insecure about the disparity.

Kenneth D. Steinsapir, MD · Answer

The ptosis is mild in all but the third photo.  The consultation would also assess if the ptosis is present in the right eye.  Although it is not manifest in the photographs, if the left upper eyelid is strengthened, immediately after surgery the other side may relax.  For this reason a careful preoperative assessment is needed to avoid this "unexpected" result.  An important aesthetic effect of mild ptosis is the compensatory brow elevation.  The brain compensates for the heavy eyelid by raising the eyebrow.  There is no information if Latisse causes pericoular atrophy.  However, the changes are thought to be reversible so if you are concerned, stop using Latisse.

Carlos Mata, MD, MBA, FACS · Answer

Hi ayeshazkh,Thanks for your question and your photos. There may be a slight asymmetry as you described but likely only noticeable to you and trained professional. I don't believe that you need anything done. I would discount using the PG analogue as you stated may be the cause of your asymmetry. There are medical drops that can help open your eye a little bit more by stimulating muellers muscle to lift your eye a little bit more. I hope this helps.All the best,Carlos Mata MD, MBA, FACS

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photo. You have attractive eyes and I do not see any asymmetry. Perhaps the problem is more noticeable in person, but you should be hesitant to have any procedures performed. See an experienced eyelid surgeon for comprehensive, in person evaluation. Good luck,

Toby Mayer, MD · Answer

What can be done for slightly asymmetric eyes? Your asymmetry is very slight. You have beautiful eyes. Leave them alone!

Mehryar (Ray) Taban, MD, FACS · Answer

Everyone has minor asymmetry to the eyes. It is hard to tell from the photo if there is any problem as you have beautiful eyes. Consider seeing an oculoplastic specialist for reassurance.

Sheila S. Nazarian, MD · Answer

No ones eyes are perfectly the same. It is what makes us each unique. Your eyes are stunning. However, if they really bother you, schedule a consultation with a board certified plastic surgeon in your area to be assessed in person. My best,Dr. Sheila Nazarian@drsheilanazarian on Instagram

Edwin Ishoo, MD · Answer

Based on your pictures, you have no surgically correctable problem. Given your level of concern out of proportion to the actual findings, I would suggest discussing your concerns with a mental health professional as there may be some body dysmorphia concerns that can be addressed more effectively through counseling than through surgery.

Curtis Wong, MD · Answer

do not need anything surgical to be done to them.  If you truly believe your life will be better with tighter skin on your looser side, resurfacing could be done but would carry a real risk of hyperpigmentation in your skin.  Is this worth it to you?

20 year old with drooping/asymmetrical eyelid. What can be done? (Photo)

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