What can I do to fix my droopy eye and make my eyes more symmetrical? (photos)

You have bilateral upper eyelid central levator disinsertion ptosis that is worse on the right side. In addition, you have a a compensatory eyebrow elevation that is stronger on the right side with the greater ptosis. You indicate that you have had botox but do not say when you last had botox. Botox can affect the upper eyelid position causing ptosis and this ptosis can persist for up to 1 year. Do you have a history of prior upper eyelid surgery? Assuming that your ptosis is not caused by botox and you do not have a prior history of blepharoplasty, it is likely that you will be locally offered a posterior approach ptosis called a Müllectomy. That surgery will correct a small amount of ptosis but it will not repair your slipped tendon. That means that you will be left with compensatory eyebrow elevation and your upper eyelid creases will remain too high. You need a detailed consultation to get to the bottom of your issues and determine precisely what is best for you. Do not get upper eyelid filler. That will not help your upper eyelids. Your eyes can be your best feature.

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.​

Thank you for sharing your question and posting your photos. The asymmetry that you dislike is very mild. Your right eyebrow is slightly lower than your left and therefore you have a little bit of extra skin. A relatively easy approach would be Thread Lifting. I don’t feel anything is necessary though. See an experienced oculoplastic surgeon for detailed evaluation and guidance. Good luck!

My brows do something similar, and in fact most people have eyebrow asymmetry. Ultherapy is an ultrasound based treatment that is FDA approved to stimulate collagen and tighten the skin and underlying tissue on the forehead. You can treat each side with a different number of pulses and depth of treatment to effectively lift the lower brow to match the other one. The procedure takes about an hour. It’s not super painful, but it is uncomfortable, so we have patients use nitrous oxide if they want. You can still drive after because it wears off so quickly. There is no downtime or restrictions. The area might just feel a little tender and sensitive for a few days. Results take 3-6 months to fully see. The treatment can be done once, but it is safe to repeat to improve the effect or to maintain brow position with aging.