Need help to resolve uneven eyelids and brows with epicanthal folds. (photos)

Question

Hi, the sides of my face are quite asymmetric including my eyelids and brows. Left eyelid looks like it has half a crease while the right one is parallel. Both has mongolian fold. I think both has mild ptosis as I have to strain my eyelids if I don't want to look tired as they are heavy. I want a tapered medium crease on both sides and the mongolian folds gone, is it possible? Do you recommend epicanthoplasty to achieve this? Will blepharoplasty also correct the ptosis? I am tired of straining.

Kenneth D. Steinsapir, MD · Answer

There is a compensatory eyebrow elevation and on the right side, the brow is slightly relaxed crowding the eyelid platform. Do not mess with your epicanthal fold. This leaves a visible scar that you will be very unhappy with. I recommend fixing the left upper eyelid ptosis and having a small anchor blepharoplasty (incisional double fold procedure).  You need someone who knows what they are doing surgically.

Charles S. Lee, MD, FACS · Answer

You have weakness in your left and possibly right eyelid muscle (ptosis) which will need to be corrected at the time of the double eyelid procedure. The right eye inner corner is constricted and it will be difficult to get a symmetric result without releasing this tight band. Current techniques such as the redraping method does not leave much scarring and you may benefit from this at the time of eyelid surgery.

Need help to resolve uneven eyelids and brows with epicanthal folds. (photos)

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