Do You Have the Same Amount of Fat and Tissues in Both Eyelids?

Can one upper eyelid under the brow feel thicker in fat and tissue than the other? or should they both be symmetrical?

Doctor Answers 7

Do You Have the Same Amount of Fat and Tissues in Both Eyelids?

 This is a very common question when I am teaching Blepharoplasty to resident surgeons and fellows in facial plastic surgery.  Although the yes are similar in the amount of excess skin and fat, they rarely are identical.  The correct approach is to remove the appropriate amount in each eye.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Asymmetry of the eyelids

Asymmetry of the eyelids (upper or lower) is common in all the tissues of the orbit.  Bone, fat, skin, etc.  Sometimes the differences are subtle, sometimes very pronounced.

Chase Lay, MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Asymmetrical eyelids

 When performing upper or lower blepharoplasty surgery we encounter asymmetrical  bony orbits, eyelid skin and fat commonly. We adjust our surgical approach accordingly to attempt to make the eyelids look more symmetrical at time of surgery. Please see the  link below to our blepharoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Asymmetry of upper eyelids

Asymmetry of the upper eyelids is normal. No two are exactly the same as no two of anything on the body is the same.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

TOtally normal

Facial asymmetry is the norm rather than the exception. Around the eyes, the position of the eyebrows, eyelid skin, or eyelid it self can vary.

If you post a photo, we can help to see if this asymmetry is minor, or if not, amenable to surgical correction.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 38 reviews

Do You Have the Same Amount of Fat and Tissues in Both Eyelids?

The vast majority of people have noticeable facial asymmetry. If you look at the eyes of several friends or family members you will notice that the eyebrow position varies from side to side. Further, the prominence of a lower eyelid bag or extra upper eyelid skin varies to a moderate degree. This can be genetic or due to asymmetric amounts of sun damage. In the US we tend to age more rapidly on the left side of the face due to exposure to the car window while driving. I hope this information is helpful. Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

Do You Have the Same Amount of Fat and Tissues in Both Eyelids?

     There are usually differences side to side in amount of skin, fat, and relative positions of the brows, eyelids, and bony orbits. 



Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.