Eye asymmetry - What surgical or non surgical options should I explore?

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 your question and photos. While you don’t appear to be a candidate for any surgical intervention, you may wish to consider the benefits of dermal fillers. These injectable, hyaluronic acid formulas can add volume where needed to improve facial symmetry.
Results from dermal fillers can last for up to a year or more, depending on the formula used. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can discuss your aesthetic goals with you and suggest the best approach.

Such a fine detail can be evaluated and discussed only on the basis of in person evaluation. Consultation with a board certified plastic or oculoplastic surgeon is recommended. Good luck.

Hello @Glorious9059, 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 other technologies. In my opinion a blefaroplasty is not the right treatment because you are too young and still have the elasticity of the skin. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Thank you for sharing your question and photos. If you choose to get this eye issue fixed, eyelid surgery 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 genetic makeup and anatomy in addition to what exactly is bothering you. 


Surgery is one option to consider. In today's day and age, there are also many nonsurgical options to consider. 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.

I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in eyelid surgery. 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.