Age 18, what procedure(s) would I need to fix this eye asymmetry? (Photos)

Thank you for your question and photos. Dermal fillers are a favorable option for improving facial balance and symmetry. These hyaluronic acid formulas can be strategically injected to add volume where necessary to create a more harmonious appearance. While dermal filler treatments are not surgery, they still require a great deal of skill and precision to achieve the best possible results. In my office, we use a microcannula to inject this area, which minimizes bruising and swelling and ensures the smoothest outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial injector who can discuss your concern with you and determine the best treatment option.

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.​

Dear covrtw113
Thanks for your question and sharing your photos. Addressing the eyelid asymmetry can be very challenging. There are lots of situations that can contribute to this. They range from droopy eyelids, to congenital conditions including the asymmetry in bony structure of the eye socket.
The first step would be to have a consultation with either an occuloplastic surgeon ( eye doctor with expertise in plastic surgery of eyelids) or a plastic surgeon with experience in eyelid surgery. They can assess you and explain the issue and formulate a surgical plan. Sometimes they might to combine surgery with non surgical treatments such as fillers. I hope you find this explanation helpful.