What is wrong with my eyes? Why don't they look level? (Photo)

ZIIISH  Thank you for the photos and question.  An in person consultation is necessary to come up with your best course of action.  That stated, good news , your eyes are perfectly level.  This is confirmed by your photo, ie. if you look at the light reflex from your photos on your cornea it is perfectly aligned.  The illusion is created by loss of fatty tissue that surrounds both your upper and lower eyelids.  This is a normal assymetry whcih can be improved with fillers.

Most people do have some amount of asymmetry in their eyes. There is a concept called big eye/small eye that was proposed. Take a look at the models in magazine ads. You will see that one of the eyes is a little bigger than the other, and these are the faces we consider most beautiful. Understand that you will never be 100% even. Now, there are things that you can do to get a little bit more pleasing appearance around your eyes. I don't think you are ready for a blepharoplasty, but your left lower lid does seem to have a little more laxity than the right. Sometimes a lateral canthopexy can fix this problem. I would likely do both eyes, as you would like to see the outside corner of the eye sitting slightly above the inside corner. You can also adjust your makeup to balance this out a bit. Fillers can give you a smoother look and help with the crease where your lower lid meets your cheek. First, I would recommend that you not worry too much about it. Secondly, should you want some improvement in your appearance, seek out a board certified plastic surgeon and have a consultation.

Your eyes look perfectly normal in the photo and the slight asymmetry is normal not the exception. Best of luck.

Dear ZIIISH,

Thank you for your clinical
post. Symmetry between corresponding
body parts is never perfect. No two
ears, no two breasts, no two hands and no two feet are exactly the same. You have the expected degree of subtle
asymmetry between the eyes and the orbital anatomy. Your left eye has a little bit more
enophthalmos or smaller eye syndrome with a larger socket. Your supratarsal fold is larger on that side
and you have some loss of volume under the eyes. Simple use of soft tissue fillers in the
infraorbital area that is under the eye as well as a small amount of filler in
the left supratarsal region can provide more symmetry.

As you are very detail oriented it’s
very important you discuss with your injection physician the relative risk and
recovery of this approach as you’ll always have some asymmetry. The goal is to create as much symmetry as
possible without ensuing too much risk.

I hope this information is of some
assistance and best of luck.

To find out more, please visit the
link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Hello,You are likely correct in your assessment that fat loss on your face and the period it's region has led to some asymmetry in the way your eyes look. Most of us are not symmetrical to start with and changes such aging and fat loss or fat gain can sometimes accentuate this. You could consider HA fillers in the year trough area and over the orbital rim to easily improve the area. Fat grafting is another option you could consider.