Eye asymmetry - is there anything that can be done to make them look more even/symmetrical? (Photo)

Question

Hi there, I have pretty severe eye asymmetry- one eye is both higher and a different shape than the other. Is there anything that can be done to make them look more even/symmetrical? (Photos)

Alan Gonzalez, MD, FACS · Answer

Hello @anony_surgery, thank you for your question. There is a need to make an assessment if we wish to improve the proportion of the eyelid through non-surgical treatments such as the use of Botox and hyaluronic acid. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

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.​

A.J. Amadi, MD · Answer

Thank you for posting photos for us to evaluate. Based on these photos, you have orbital, or eye socket, asymmetry. One eye socket is slightly higher than the other, so the eye also follows that asymmetry. In theory, in order to minimize the asymmetry one would need to re-align the bones of the eye socket via "craniofacial surgery". Having said that, it would be incredibly challenging, not to mention risky, to try this type of surgery for relatively subtle, and normal variations. Of course, I understand that this is not a "minor" asymmetry to you, so I do not want to minimize that. However, I want to reassure you that we all have some degree of asymmetry in our anatomy. Sometimes those asymmetries can be addressed if the risk associated with the surgery is reasonable. But sometimes we need to accept asymmetries that would be too risk to attempt to fix. 
I hope that this helps.

Eye asymmetry - is there anything that can be done to make them look more even/symmetrical? (Photo)

Answers (3)

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