Hello. I am a 51 year old female with no prior facial surgery, injections, laser or any other intervention. My eyes have always been asymmetric, but things seem to be worsening with age. The left eye appears to be sunken and the right to have ptosis. In addition the left eyebrow seems a little higher. I am not looking for miracles, but would like to restore some symmetry to my face so I could enjoy wearing makeup. What would be recommended in my case?
February 9, 2015
Answer: Both eyelids have ptosis. The left one looks a bit worse than the right. There is profound compensatory elevation of the eyebrows. Ptosis surgery will significantly brighten your appearance and allow your eyebrows to relax down. This will help you look more awake and, yes, more youthful. I recommend seeing a fellowship trained oculoplastic surgeon for a detailed assessment and surgery.
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February 9, 2015
Answer: Both eyelids have ptosis. The left one looks a bit worse than the right. There is profound compensatory elevation of the eyebrows. Ptosis surgery will significantly brighten your appearance and allow your eyebrows to relax down. This will help you look more awake and, yes, more youthful. I recommend seeing a fellowship trained oculoplastic surgeon for a detailed assessment and surgery.
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February 9, 2015
Answer: Asymmetrical eyelids Thank your for your question and your excellent pictures.Asymmetry amongst eyes is common. In your case, you seem to have a higher skin fold on your left, when your eyes are open. This typically indicates levator dehiscence or stretching that occurs due to age or other causes. Furthermore, with your eyes open and closed, it appears that you also have excess skin over the eyelids. What I cannot glean from pictures is the function of your levator muscle, and abnormal fat protuberance, and pupil and ocular mobility, and any pathology with your brow or forehead. Also, other causes of ptosis must be ruled out. That being said, a visual field test is also another exam that will provide information about visual field blockage. I believe a bilateral upper eyelid blepharoplasty with reinsertion of your left levator is an option. I recommend seeing your plastic surgeon for a personalized consultation and a more thorough evaluation (not gleaned from only pictures) to formulate a solid treatment approach.Regards,Manish Champaneria, MD
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February 9, 2015
Answer: Asymmetrical eyelids Thank your for your question and your excellent pictures.Asymmetry amongst eyes is common. In your case, you seem to have a higher skin fold on your left, when your eyes are open. This typically indicates levator dehiscence or stretching that occurs due to age or other causes. Furthermore, with your eyes open and closed, it appears that you also have excess skin over the eyelids. What I cannot glean from pictures is the function of your levator muscle, and abnormal fat protuberance, and pupil and ocular mobility, and any pathology with your brow or forehead. Also, other causes of ptosis must be ruled out. That being said, a visual field test is also another exam that will provide information about visual field blockage. I believe a bilateral upper eyelid blepharoplasty with reinsertion of your left levator is an option. I recommend seeing your plastic surgeon for a personalized consultation and a more thorough evaluation (not gleaned from only pictures) to formulate a solid treatment approach.Regards,Manish Champaneria, MD
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