How would you treat asymmetrical Asian eyes to get natural results? What needs to be done to each eye?

Question

What needs to be done on each eye to achieve symmetry to have a natural end result to complement Asian features? The right eye has a double eyelid but is smaller than the monolid left eye. Her iris on her right eye is covered by her eyelid more than the eyelid on the left. Would this patient’s end result include large eyelid space due to the left eye (double eyelid) being smaller than the right eye (monolid)?

Andrew Choi, MD · Answer

Thanks for sharing your photos.
Your right eye has mild ptosis which causes loose and wider crease compare to your left eye. This need to be corrected at the same time when you do create crease. Phenylephrine eye drop test will be helpful to achieve the symmetrical crease prior to actual surgery.

Regards,

Dr.Choi

Mehryar (Ray) Taban, MD, FACS · Answer

Right upper eyelid ptosis surgery can improve the upper eyelid asymmetry since there is right upper eyelid present. Skin removal (upper blepharoplasty) can be added based on desired goal of how much crease to show. Need evaluation in consultation.

Chase Lay, MD · Answer

Morning,You have ptosis on the right eyelid and the left appears fine.  I think the smartest thing to do is a ptosis repair of the right eyelid and crease creation with anchoring technique at the same time.  You appear very young so it might be best to leave the left eye alone if you can, particularly since you want a "natural" appearance.  Now what a person means when they say Natural or Asian is subjective and is specific to that person. What you really need to do is talk to a specialist in ptosis and Asian eyelid surgery and see what that surgeon has to say.In my case I perform both the surgeries together, daily.  I'd likely advance your right levator tendon and utilize anchoring technique to match the two eyes.  It would take about 10 days to look decent and 2-6 months to start to see the final result.Best of luckChase Lay MD

David Kahng, MD · Answer

hi
after reviewing your pictures, you are a candidate for eyelid surgery.  if you are happy with your left eye, only right eyelid surgery can be done with creating a similar crease and also correcting your ptosis(sleepy eyes).  hope this helps.

dr david kahng

How would you treat asymmetrical Asian eyes to get natural results? What needs to be done to each eye?

Answers (4)

Answer: Uneven eyes

Answer: Uneven eyes

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How would you treat asymmetrical Asian eyes to get natural results? What needs to be done to each eye?

Answers (4)

Answer: Uneven eyes

Answer: Uneven eyes

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Recommended reading

Everything you need to know about Double Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.