How can my asymmetrical eyelids be fixed? (Photo)

Question

My left eyelid is more saggy than the other and it bothers me. I'd like it to be a little fulller, like the other. What are my options, surgical or non surgical ?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Though perfect symmetry is difficult to achieve, there are surgical and non-surgical options that may provide a more balanced eye appearance. Hyaluronic acid dermal fillers can be administered to strategically chosen areas to add volume where needed to improve facial balance and symmetry. 
Blepharoplasty is an eyelid surgery that removes excess skin and repositions fat to volumize the area around the eye to create a more symmetrical appearance that is harmonious with the rest of your facial features. The results from dermal fillers can last for up to a year or more, while blepharoplasty results may last for over seven years. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concern and determine the best treatment option.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Zoran Potparic, MD · Answer

Based on these photos, your asymmetry is very mild and, probabely, not worth od surgical correction; make up will do it. Hoewever. if you need more eleborate consultation, in person evaluation with a board certified plastic or oculoplastic surgeon, is recommended. Good luck.

Camille Cash, MD · Answer

We are all asymmetrical to some degree and your eyes certainly fall within a normal range.  If you are wanting correction, an upper blepharoplasty may help make the upper eyelid more symmetrical.  I encourage you to visit with a board certified plastic surgeon near you to learn more and help you decide if it is right for you.

William Portuese, MD · Answer

Your left eyelid has an extra pleat of skin which can be removed by a unilateral upper blepharoplasty procedure performed under local anesthesia. Your eyelids will never be symmetrical, just improved.

How can my asymmetrical eyelids be fixed? (Photo)

Answers (5)

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