Uneven eyes/eyelids - which treatment would you recommend to get it fixed? (Pohto)

Question

I have been feeling very frustrated lately because my eyelids/eyes are asymmetrical. However, I asked doctors and some of them said it was within one standard deviation and that I do not need treatment, while others said it was abnormal and that I need surgery to get it fixed. Which one of them is right?

C. Blake Perry, MD · Answer

You have slight ptosis of the left upper lid which makes the eyes look asymmetrical. In my hands, you would benefit from a ptosis repair on the left upper lid and conservative skin removal of both upper lids. Best to see an eyelid expert.

Kenneth D. Steinsapir, MD · Answer

If it bothers you enough, you will have surgery. If it does not bother you that much, you won’t get surgery. You could talk to your ophthalmologist or primary care doctor about a prescription for Upneeq. It is a drop that can lift the eyelid. You would need to try it and see if it makes a worthwhile difference. It is best used for occasional situations in my opinion. Don’t have surgery with someone who tells you they can’t help you.

Mats Hagstrom, MD (license on probation) · Answer

When a condition bothers you enough that you’re willing to have surgery, then you’re probably ready to commit to having surgical intervention. Your eyelids are inherently slightly different and the question is, would someone be able to actually give you good symmetry or just create a new asymmetry since most likely surgery would be unilateral.
Consult with plastic surgeons in your community and see what they have to say.
I generally steer on this side of conservatism, so unless there’s a clear indication for surgery, it’s generally better to avoid it.
If you don’t like the outcome of surgical intervention, then it is unlikely you’ll be able to reverse it.
I still think reassurance is the best option for you, but it’s a free world and you’re certainly welcome to go explore having surgical correction if you would like. If you do, my best advice is to look for senior providers who have many decades of experience.Mats Hagstrom MD

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