Can my uneven eyes be corrected? (Photo)

Question

When I look in the mirror my eyes look extremely uneven.. I am curious if this is something that can be corrected with Botox or has to be corrected with surgery?

Zoran Potparic, MD · Answer

It appears that you may have bilateral eyelid ptosis? In person consultation with a board certified plastic or oculoplastic surgeon is recommended. If so, a simple surgery in local anesthesia may improve your condition significantly. Good luck.

Eric M. Joseph, MD · Answer

I think you have a droopy upper eyelid appearance more on your left foot on your right, and this may be leading to eyelid asymmetry. The good news is that a well performed ptosis repair may be considered. Please consider meeting with several reputable Oculoplastic specialists who performed the surgery regularly. I hope this helps! Sincerely, Dr. Joseph

Jorge Puello White, MD · Answer

Si experimentas ptosis palpebral y buscas mejorar tu apariencia, es posible que seas un candidato adecuado para someterte a una blefaroplastia superior, un procedimiento quirúrgico diseñado para corregir el exceso de piel y grasa en los párpados superiores, restaurando así una apariencia más rejuvenecida y fresca en la región periocular.

Camille Cash, MD · Answer

We all have facial asymmetry to some degree and yours is within normal limits.  We can use tools such as fillers, Botox, and surgery to help improve it.  I encourage you to visit with a board certified plastic surgeon near you for a consultation to learn more about your options.

Mats Hagstrom, MD (license on probation) · Answer

Your eyes appear uneven because your facial skeletal structures have facial asymmetry.
All people have asymmetrical faces.Most people have a left eye socket that sits higher in the skull in the right side and this is true for you as well.
It’s not the eyeballs that are uneven. It is your face that’s uneven.
All people have facial asymmetry.
During embryological development, the two sides of the face develop independently from each other.
This typically leads to both sides being quite different.
The human brain is accustomed to seeing people with facial asymmetry as being normal.
If you look at computer generated symmetrical faces you may notice they have an odd and unfamiliar appearance.
Simply google facial symmetry, and you can see some examples.
There is no treatment indicated or needed. Your face is normal and everybody has this degree of asymmetry.
The reason you don’t see the same degree of a symmetry in other people around you like your friends and family is because your brain is accustomed to seeing this as normal.
Sometimes when people recognize their own facial a symmetry, they are startled, and think that this represents something wrong.
 Static beauty is not at all based on symmetry, but rather on balance.
It is facial, balanced that determines if people are attractive, not if they are symmetric or asymmetric.
Any attempt at soft tissue manipulation used to treat facial asymmetry that is primarily based on bone structure will simply create two different asymmetries which typically don’t balance each other out very well.
For this reason I recommend you avoid attempts at treating this with simplistic approaches like Botox or fillers.
Best,
Mats Hagstrom, MD

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