What can be done to correct symmetry and hooding? 21 y/o female (photos)

Question

i am 21 year old female, i have very fair skin and i live in the UK. I am looking for advice that might help me decide what procedures to consider for my eye appearance. I have several issues with my eyes, they are very unsymmetrical, there is too much space in between them. They are also very hooded which makes eye makeup hard. I feel my eyes look very small and my eyebrows also sit rather low which I feel adds to this. It also appears i have a lazy eye

Gary M. Horndeski, MD · Answer

Your photographs are very limited. However, you may benefit from brow lift. This will lower your hairline, decrease the vertical height of the forehead and pull up the eyebrows. This will make you look younger and more awake.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Given your concerns about eye appearance, including asymmetry, hooding, spacing, and a potentially lazy eye, there are several cosmetic procedures and considerations that might help address these issues. Hooded eyelids, where excess skin folds over the upper eyelid, can make the eyes appear smaller and affect makeup application. Blepharoplasty, or eyelid surgery, is a common procedure to remove excess skin and fat from the upper eyelids, which can help create a more open and youthful appearance. This procedure can also improve symmetry and enhance the overall look of your eyes. Eye asymmetry and spacing can be challenging to address, but there are options available. For minor asymmetries, cosmetic fillers or Botox can sometimes be used to balance the appearance of the eyes by adding volume or adjusting the brow position. In more significant cases, surgical options like a brow lift can reposition the eyebrows to create a more balanced and symmetrical look. If the spacing between the eyes is a concern, procedures like canthoplasty (eye corner surgery) might be considered to adjust the lateral canthus and improve alignment. If you prefer non-surgical options or want to complement surgical treatments, cosmetic injections such as Botox or dermal fillers can help improve the appearance of the eyes. Botox can be used to lift the brow and smooth out any lines around the eyes, while fillers can address volume loss and contouring issues. Laser treatments can also help with skin texture and pigmentation around the eyes. I hope this helps and best of luck!

Guler Gamze Eren, MD · Answer

Thank you for your question. Considering your photos my recommendation will not be an upper eyelid surgery. Lateral brow lifting (temporal lift) and lower eyelid blepharoplasty (transconjuctival) and fat improve your appearance. Best Luck!

Mats Hagstrom, MD (license on probation) · Answer

Your asymmetry is primarily based on bone structure with one orbit sitting higher in your skull than the other side.
In one picture it’s your left side and another picture right side, which makes me think that one image is reversed.
Facial skeletal correction is probably not indicated.
You could consider a brow lift or upper eyelid, blepharoplasty surgery or both.
If you attempt to make your eyebrows, even then the distance between the brow and your lash line will become more uneven. Attempting to correct facial, skeletal asymmetry with soft tissue manipulation will generally only create a second asymmetry. 
Generally speaking Eileen towards the conservative side when it comes to surgical intervention and generally believe this should be a fairly high threshold before doing surgery on normal people who don’t have a clear problem.
The human brain is accustomed to seeing facial asymmetry because all people are asymmetrical.
It takes a significant degree of a symmetry before others recognize the imbalance.
We typically don’t see our friends and family as having facial asymmetry, even though all of them do.
For this and many other reasons, it’s usually better to leave an asymmetry alone then to try to correct it.
You bring up several issues and not all of them are related to symmetry.
As mentioned previously would lean towards the conservative side or side of caution before jumping into permanent irreversible surgery.
You can consult with senior plastic surgeons, facial plastic surgeons, or oculoplastic surgeons in your community.
 During consultation, it would be a good sign if they recognize the skeletal component.
Best,
Mats Hagstrom MD

What can be done to correct symmetry and hooding? 21 y/o female (photos)

Answers (4)

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