my right eye has always looked smaller than my left. What would be the best way to correct this or just make them look even. I'm 30 years old.
Right Eye is Smaller Than my Left - How Should I Correct This?(photo)
Doctor Answers 10
Management of Orbital Asymmetry
There are multiple anatomic abnormalities that can result in facial asymmetry. These may include deformities of the orbital bones, eyelid soft tissue and eyebrows. In most cases, they are relatively minor, but in some cases, they may be severe and extremely noticeable. Depending upon the deformity, treatment may or may not be possible. Although, it's hard to tell exactly what's going on from your pictures, I suspect you have boney orbital asymmetry. In addition, you appear to have minimal eyelid ptosis and a depressed eyebrow.
Asymmetry of the facial bones can be a major contributor to facial asymmetry. When this occurs, it's not unusual to have one side of the face that has a depressed orbital rim and flattened cheekbone and an eye that appears smaller than the opposite side. This is often related to a condition called plagiocephaly.
When this situation arises, it's possible in some cases, to disguise asymmetry. Unfortunately, it's not possible to correct the boney deformity without major surgery. In this case, a unilateral brow lift in combination with an eyelid ptosis repair are both possible options. If you're considering treatment, it's important that you meet with a board certified plastic surgeon who can help you with this decision.
Many different situations can lead to uneven eyelids. Some of these can be treated non-surgically and conservatively, even using some very advanced injection techniques with filler or very precise placement of Botox. Some situations truly do require surgery to resolve.
It is important that you seek a consultation with an eyelid expert to delineate the exact cause and treatment options.
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
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Asymmetry or Ptosis or Proptosis of the other side ...
Everyone has one eye smaller than the other but it could also be weakness of the muscle on that side or protrusion of the eye on the other side. It is difficult to tell from the photos. The best way to proceed is to get a consultation from a board certified plastic surgeon who specializes in the eyes and find out what the options are. Best of luck with it.
Haideh Hirmand, MD/FACS
Aesthetic Plastic Surgeon/New York City
Ptosis right eye....or bulgy left eye!
Based on your photos, its impossible for us to know if its the right eye that is droopy, or possibly your LEFT eye is bulgy....or it could be a combination of the two.
Its important to have a consultation with an Oculoplastic Surgeon to fully evaluate these possibilities.
You can find one close to you by clicking on the link I provided below.
Eyelid sagging on one side needs an upper eyelid reconstructive repair
Thank you for your question. Upper lid droopy appearance can be caused by:
- excess of skin in the upper lid itself and/or the presence of fat pads
- brow ptosis (ie. sagginess)
- lid ptosis (ie. sagginess)
It seems in your case that your upper lid itself is saggy and would require perhaps a levator aponeurosis advancement. Levator is the muscle responsible for lifting your upper lid. Again, a one-on-one consultation with a qualified surgeon is required for a formal assessment.
Make sure you see a qualified surgeon for this issue. Best of luck! Dr. Marc Dupere, Toronto Plastic Surgeon, board-certified.
Asymmetric eye appearance could be due to multiple factors. Your right upper eyelid is more droopy (ptosis) than the left side. The eye itself may also be more sunken that the left side (or left side is more bulgy than the right side). The treatment will depend on the exact problem. See an oculoplastic surgeon for evaluation.
Cosmetic Surgery is an Art and a science
Thank you for the question. The photos are limited and I will answer the best that I can. Everyone has some asymmetry which makes us unique. You can improve this by measuring a crease in your eyelids to get a better match. Good luck with your procedure...Thomas Narsete Austin, Tx
It appears from the photographs that you may have ptosis of your right eye. Ptosis repair is best treated by an oculoplastic surgeon which can be done as a stand-alone procedure or it can be combined cosmetic eyelid surgery
You have mild upper eyelid ptosis.
This can be corrected with ptosis surgery. Generally your best bet is to see a fellowship trained oculoplastic surgeon for help with this. In Oregon, you have some excellent options. Consider using the geographic directory on the ASOPRS website to help find someone with the right credentials.