What surgery can I do to make my eyes even? (photo)

Question

Hello! So I have had mismatched eyeshapes since birth. The older I get (34) the more I’m becoming aware of it especially in photos as it makes me look like I have a lazy eye. I just wondered what procedure would be best to even me up? I dont mind having both eyes done if that’s what would be best for symmetry. Thanks in advance!

Kenneth D. Steinsapir, MD · Answer

Your right upper eyelid is an outie and your left upper eyelid is an innie. The outie portion of the eyelid is also known as an upper eyelid fold. To have one you need several components working together to form this: A properly attached central levator aponeurosis tendon, adequate and properly positioned preaponeurotic fat, and a properly positioned brow. The levator aponeurosis is the tendon from the levator superioris oculi muscle that is responsible for opening the eyelid. You have what is known as a central levator disinsertion. With the central levator disinsertion, the preaponeurotic fat that contributes volume to the upper eyelid fold retracts into the orbit and is not available to provide this volume. The disinsertion of the central levator also causes a compensatory brow elevation. And, yes you have a very mild left upper eyelid ptosis. The fix is a very specialized eyelid surgery. A new upper eyelid crease is made at a lower location, the levator tendon is reattached tot he the tarsus with a correction of the upper eyelid margin. Finally the preaponeurotic fat is repositioned. Please understand that there is no substitute for a detailed, in person assessment. Please also understand that very few eyelid surgeons understand your issue and it is highly probable that you will be offered "solutions" that will actually harm you like operating on the other eyelid, under eyelid sulcus fillers, or forehead lift. Please be careful out there. Finally, if you are using prostaglandin lash growth serums, stop this immediately. Yes they grow thicker, longer, darker lashes but the also kill the fat in the eyelid permanently causing premature aging.

Eric M. Joseph, MD · Answer

Ptosis is when there is droopiness of the upper eyelid. In my opinion, this is very subtle, and I would not recommend a surgical intervention, unless if you have severe dissatisfaction with this. I hope this helps. Sincerely, Dr Joseph

Tanya T. Khan, MD · Answer

Hello, it looks like there is more hollowing above one eye. Would consider HA filler to the superior sulcus and the volume proportions will be more symmetric causing the eyes to look more balanced. You also have some hollowing under both eyes and this can also be addressed with tear trough filler. Please see an experienced oculoplastic surgeon for best results.

Mehryar (Ray) Taban, MD, FACS · Answer

Not sure if you have lazy eye. You do have eye asymmetry and improvement is likely but need more detailed evaluation to determine. See following page for more information on eye asymmetry.

Zoran Potparic, MD · Answer

It does not look that your eye asymmetry is very visible to occasional observer. Mild ptosis may not be excluded and for that reason consultation with a board certified plastic or Oculoplastic surgeon should be considered. Make up would help to correct mild asymmetry; no place for surgery right now. Good luck.

What surgery can I do to make my eyes even? (photo)

Answers (7)

Answer: Eye asymmetry

Answer: Eye asymmetry

Answer: Mild eye asymmetry

Answer: Mild eye asymmetry

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What surgery can I do to make my eyes even? (photo)

Answers (7)

Answer: Eye asymmetry

Answer: Eye asymmetry

Answer: Mild eye asymmetry

Answer: Mild eye asymmetry

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.