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

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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.

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

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.

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.

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.

It's difficult to tell from this photograph, but it appears that your right eyelid is more hooded your left eyelid. If that's the case, you can perform a cosmetic blrpharoplasty on the more hooded eyelid. This can be done under a local anesthesia as an outpatient procedure. It's impossible to tell if your left eye has any ptosis, but if it does that would need to be repaired as well

Careful review of the photograph provided demonstrates an increased distance from the left eyelash line to the eyelid crease above. This is consistent with ptosis, a condition where the muscle and tendon unit that lifts the left eyelid is asymmetric compared to the right. An interesting study of your photographs over the years and even in childhood may provide a clue if this a symmetry has always been present, congenital ptosis. Minor ptosis cases often go unnoticed or tolerated during adolescence, but after facial aging can become more apparent during young and middle adulthood. Adult acquired ptosis occurs as the tendon attachment to the eyelid margin begins to elongate.
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