Right eyelid always looks puffy/swollen? (photo)

My right eyelid always looks puffy or swollen. I have no itching in the eye so I don't think it's allergies. Is it just excessive skin in my eyelid?

Doctor Answers 4

Right eyelid ptosis making eye appear swollen

You appear to have right upper eyelid ptosis (droopy), which gives illusion of eyelid puffiness/swelling. However, there could also be true swelling present, which is difficult to tell from the 2D photo. See an oculoplastic specialist for evaluation.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Asymmetric eyelids Asian eyelids

in your case this puffiness that he see may be related to ptosis. I can't say for sure without a physical exam but based on these photographs I have suspicion that that is your problem. get an evaluation with a good ophthalmologist first to verify that this is not a medically related issue before jumping ahead into surgery. Also you should see a very experienced oculoplastic surgeon or a facial plastic surgeon who is well versed in Asian eyelid surgery.

I'll attach some information you may find useful

Chase Lay, MD

Asian eyelid surgery and eyelid surgery specialist

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Your photos are consistent with right upper eyelid ptosis.

The puffiness is also related to the ptosis. Depending on how long you have been experiencing this, you might benefit from an anchor blepharoplasty to match the right upper eyelid to the appearance of the left upper eyelid. A careful assessment is needed to be certain that you do not have latent ptosis on the left side. If this is found, then generally we will also recommend repairing both sides at the same time. If the onset of the ptosis is relatively recent, a period of observation is warranted and occasionally additional assessment may be beneficial under those circumstances.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Puffiness in one upper eyelid.

What you have is a different insertion of the muscle that elevates the left eyelid versus the right. This can be corrected by removing a small amount of skin or

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.