One eye is smaller than the other after upper blephorplasty. Please help! (Photo)

Question

One of my eyes is noticeably bigger than the other. I had upper blephorplasty about a month ago and one of my incisions was higher than the other. My eyes were never like Thai before and if they were it wasn't to this extent. Any suggestions to make them more even? What can be done?

Kenneth D. Steinsapir, MD · Answer

The left upper eyelid is slightly heavier than the right upper eyelid.  The creases were made too high and the crease is not well defined.  There is too much skin and muscle left on the upper eyelid platform.  The skin on the eyelid platform needs to be snugged like a bedsheet.  When the ptosis is corrected, this will allow the eyes to look bigger.  Before you have this type of work, you need to heal for several more months.  I would look to have a revisional consultations in another 2 months and plan on having revision surgery at the 6 month mark.  Revising eyelids is more complicated than the initial surgery.  You need to decide if your original surgeon has the skill to revise the eyelids.

Debra M. Kroll, MD · Answer

Kasey, thanks for your question.  I see a mild ptosis in the left upper eyelid.  I agree with the other posters that there could have been a preexisting subclinical ptosis that is being revealed now since the excess skin is gone.  I would return to your surgeon and discuss this.  I would give it 3-6 months to heal from your original procedure before considering any touch ups. This does not constitute official medical advice. Good luck!

P. Daniel Ward, MD · Answer

Your eyes are certainly uneven and it appears that your left upper eyelid is drooping. You should certainly discuss with your surgeon and examine your pre operative photographs to see if you had any signs of ptosis before surgery. This is a condition that can be fixed and will get better, but it may require an additional procedure. Good luck!!

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

Thank you for sharing your concerns. Without seeing your before photos, it is impossible to understand the issue. Perhaps, your eyelid was ptotic (droopy) prior to surgery, but the removal of excessive skin fully revealed the extent of the ptosis. See an Oculoplastic Surgeon with your before photographs for comprehensive evaluation. Good luck.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and a review of preop photos and an examination is really needed.  So see your surgeon or other expert in the field and be evaluated.Dr. Corbin

One eye is smaller than the other after upper blephorplasty. Please help! (Photo)

Answers (5)

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