One eyelid is bigger than the other? (Photo)

Question

So recently one of my eyelid has changed on the left side. I'm not sure why, I have never had this issue with my eyelid. What should I do to correct this.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Keep in mind that no human being has a perfectly symmetrical face. That said, you would benefit from a consultation with a board certified facial plastic surgeon. It is an opportunity to explore ways to address the recently changed eyelid as well as discuss any and all cosmetic concerns and desires. Always consult with a board certified facial plastic surgeon.

Best wishes,

Best wishes,

A.J. Amadi, MD · Answer

If your right eye is the normal side, then the left upper eyelid seems "retracted". That is, it seems more open than the left side. Often, Thyroid Eye Disease may be the underlying problem. You need to be evaluated by an experienced Oculoplastics surgeon to get this properly evaluated. In the San Francisco area, Drs Eve Moscato and Stuart Seiff are excellent choices. The are other very well qualified Oculoplastics surgeons in SF as well. ASOPRS.org would be another good resource for your as this is the website for American Society of Ophthalmic Plastic and Reconstructive Surgery.Good luck.

Scott C. Sattler, MD, FACS · Answer

A recent change in the appearance of one eyelid in a patient with no history of eyelid surgery could indicate pressure related trauma, swelling from trauma or infection or a topical reaction to makeup or skin product.

Kenneth D. Steinsapir, MD · Answer

Generally this type of difference is due to levator dehiscence in one of the eyelids.  In this case it is likely the right upper eyelid.  Although you are not looking straight ahead in the photo, it appears there is a compensatory brow elevation on the right side.  What you need is a detailed consultation.  You need to be very clear what you want and do not want if surgery is proposed.  Generally you are likely to want symmetry improved without any evidence that you have had eyelid surgery.  Look for a highly experience eyelid surgeons who understands Asian eyelids.

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

Thank you for sharing your concerns. It appears you have ptosis (drooping) of the eyelid. This can easily be corrected by an experienced Oculoplastic Surgeon with one of several treatment options.  See a specialist for consultation.  Good luck,

Matheson A. Harris, MD · Answer

It is impossible to tell from one photo what your problem is, but it may be a droopy eyelid (ptosis). You'll need to consult with a oculoplastic surgeon in your area. He/she can help you find a solution.

Kristin J. Tarbet, MD, FACS · Answer

It appear that you have a Ptosis. I would suggest following up with an Oculo Facial Plastic surgeon.

Richard O. Gregory, MD · Answer

by history and also looking at the photographs it would seem that this unilateral swelling of the left upper eyelid without a history of trauma or infection needs to be investigated. You should see and experience plastic surgery, ocular plastic surgeon, or head and neck surgeon who does more than just cosmetic surgery. Appropriate studies can be done as well as physical examination to document the problem as well as provide a possible treatment

Omar K. Ozgur, MD · Answer

Often times a droopy lid can cause this appearance, however if you feel that the right side is your "normal" side and the left side has had a recent change, this definitely would require further investigation. Older photographs would be helpful in evaluating this change. An oculoplastic surgeon should be able to evaluate your left orbit to see if there is a cause of this lateral upper eyelid flare (opening wider than normal). There can be a wide range of causes of this type of change (mass, thyroid disease, etc). Good luck!

Daniel Lensink, MD · Answer

While at first glance, it appears your right upper lid is droopy relative to the left, it may be that your left upper lid is slightly retracted. If it is, you would want to get to the bottom of the cause. You should see a specialist in the area around the eye (oculoplastic surgeon) for a comprehensive evaluation.

One eyelid is bigger than the other? (Photo)

Answers (13)

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