Can anything be done about my asymmetric eyes, dark circles, and wrinkles? (photo)

Question

My eyes have been my biggest insecurity my entire life. From my genetic dark circles, to the wrinkles - and most of all, how asymmetric they appear. The photo is me looking directly into the camera. You can clearly see how my left eye is much lower than my right. I really want to get this fixed and was wondering if it was possible. Most of the posts I see on here are regarding eyelid asymmetry, but my entire eye is asymmetric.

Alan Gonzalez, MD, FACS · Answer

Hello @vintronz, thank you for your question and showing your picture. Body parts do not all have the same size or shape. There are generally certain asymmetries. For example, one eyebrow is different from the other and the same happens with our eyes. For a proper assessment I suggest you consult one or several board certified plastic surgeon for more information and options. Best wishes! Alan Gonzalez MD FACS

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. It is possible that an eye lift procedure known as blepharoplasty can improve the areas of concern you describe. This procedure can redefine the shape of the eyes by removing any excess skin and repositioning the fat in this area to create a symmetrical appearance that is harmonious with the rest of your facial features.
The darkness under the eyes can also be diminished by a nonsurgical procedure like tear trough filler, laser resurfacing, or RF microneedling. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to provide a more in-depth analysis of your situation and suggest the best approach to helping you achieve your aesthetic goals.

C. Blake Perry, MD · Answer

You have ptosis of the right upper lid. This can be caused by numerous factors, but most commonly a slipping of the muscle that helps elevate the eyelid. Surgery can be performed to get your lid back to its normal height and position. Your doctor must rule out other potential causes of ptosis before proceeding with surgery.

Sam Speron, MD, FACS · Answer

This is a common question.  Horizontal eyelid wrinkles can be corrected with blepharoplasty or cosmetic eyelid surgery. It 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 unique anatomy as well as what exactly is bothering you.

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 in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid surgery but also offers all the nonsurgical options such as injectables and laser treatments. 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 and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Michael A. Persky, MD · Answer

Hi V,
It appears that you have right upper eyelid ptosis.  You should see a oculoplastic surgeon for evaluation, it can be corrected with surgery.  Unfortunately, there is not a great treatment for dark circles under the eyes, though having a bit of filler placed can decreased the shadowing.  Wrinkles are usually treated with laser, but laser not a good option of skin of color.  Good luck and be well.
Michael Persky, MD
Encino, CA

Can anything be done about my asymmetric eyes, dark circles, and wrinkles? (photo)

Answers (6)

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