I don't expect that you can create perfect symmetry in eyes. Why create this asymmetry?
Doctor Answers 5
Asymmetry in the Eyes After Blepharoplasty?
In regards to incisions for an upper blepharoplasty, they should be make at the same height and trajectory on both sides. On women, the lower extent of the incision typically lies between 8mm and 12mm above the eye lash line. The amount of skin to be removed should be identical between each sides. At least 20mm of skin should be left between the eyelid and the bottom aspect of the thick skin of the eyebrow region.
During and upper blepharoplasty, I use a caliper (a precise medical ruler) to ensure I have symmetry between both eyes.
I hope this helps.
Why are eyelid incision asymmetric in a well-performed blepharoplasty?
In reality, in every patient, each of those factors weighs differently between the left and right eye. Patients present with one brow slightly higher or at a different angle than the other, asymmetric eye sockets, asymmetric skin creases, asymmetric skin folds,asymmetric fat volumes, and so on.
Creating the most balanced results after surgery requires that the amount of skin and fat we leave behind be equal between the two eyes - not that we remove the same amount from each eye. Creating the best symmetry frequently demands different amounts of skin and fat excision from each upper eyelid, and doing that requires different incision lengths (and occasionally different placements) between the two eyes. Put another way, if we want to prune two bushes to the same shape and size, we need to cut more away from the bigger bush.
Fortunately, these asymmetric eyelid incisions typically fade to near-invisibility, leaving behind the most symmetric final lid shapes possible. On the other hand, if we arbitrarily took the exact same measures with skin and fat excision on each eye to assure symmetry of the early, visible incision lines, the resultant asymmetry of the eyelids would be a poor surgical result, even after the incision lines faded.
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