See an oculoplastic specialist for in person consultation. You have mild asymmetric upper lid ptosis. There is also mild skin laxity.
From the photos you have many subtle changes that suggest you have a slight weakness or stretching of the muscle responsible for lifting the eyelid. This is called eyelid ptosis. In addition you have some differences in the shape and character of the eyelid crease. A consultation with an eyelid specialist (oculoplastic surgeon) will help to determine the best treatment for you.
This is not a medical emergency. This is most likely a congenital upper eyelid levator dehisence ptosis that has progressively worsened over a long period of time. This can be corrected with ptosis surgery. There are two approaches to ptosis: posterior or the conjunctival muellerectomy or anterior levator resection ptosis surgery. You need an anterior approach surgery with an anchor blepharoplasty. Do not see a facial plastic surgeon or a general plastic surgeon for this. Although you might find one that does ptosis surgery, they are not primarily trained for this type of surgery and often lack the experience, skill and training for this very specialized work. For this reason you need to find a fellowship trained oculoplastic surgeon. The American Society for Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) has a website that maintains a regional directory that will help you find a highly qualified surgeon close to home.
Your left eyebrow is higher than your right. Your eyelids can be made more symmetrical with upper Lid Blepharoplasty.
Thank you for your question and pictures. It appears you have some weakness developing of your muscle which helps you to open your eyelid. This can be repaired so good luck!
Thank you for asking about your eyelid.
- Your photos suggest that the problem is slight lengthening of the levator muscle that lifts the upper lid.
- If you wear contacts, this can be the reason this is happening as they can stretch the muscle.
- Please see an Board Certified Oculoplastic or Plastic Surgeon for a full evaluation and discussion of what treatment might be considered.
Always see a Board
Certified Plastic Surgeon.
Best wishes - Elizabeth
Morgan MD PHD FACS
Thank for sharing your question and photos. It is difficult to assess the problem well with the photos, but it appears you have mild ptosis (drooping) which can be corrected. See an Oculoplastic Surgeon for comprehensive evaluation and discussion of potential treatment options.