Can Unparalleled Eyes Be Corrected (photo)?

Question

the eyebrows & the eyelids are what stood out to me. so i was wondering what methods can be done to correct this.

A.J. Amadi, MD · Answer

I'm going to start off by saying that the quality of the photos is not ideal, so we cannot really see the fine features of your forehead. Is this a static phenomenon or a dynamic one? ]

	Your left eyebrow is obviously slightly lower than your right eyebrow. But another way to put it is that the right eyebrow is higher than the left eyebrow. Let me explain, because it can be a bit confusing: 

	The eyebrow asymmetry [one being lower than the other] is sometimes caused by anatomic asymmetry [static], where the bony anatomy of one eye socket is lower than the other one. This will never change as you move the muscles of your face.

	However sometimes one brow being higher than the other is caused by a subconscious use of the forehead muscle [frontalis] when the patient is trying to compensate for a droopy eyelid on that side. THe end result is that the eyelid is elevated and looks normal, but the brow on that same side is also higher. This is termed "frontalis recruitment" as a compensation for a droopy eyelid [ptosis]. This is a "dynamic" situation.

	Looking very closely at the photo, I think that the left eye, not just the eyebrow, is also slightly lower than the right side. This leads me to believe that this is more likely to be an anatomic asymmetry with the left eye socket being slightly lower than the right one. This leads the soft tissue [eye, eyebrow, lids] to follow suit.

	There only way to know for sure is to examine you in person. A CT scan of the eye sockets with 3D reconstruction [done by radiology software] can also be helpful in seeing the underlying bony anatomy.

	Each of these issues has significantly different ways of treatement.

	f you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon. You can find one close to you on the ASOPRS dot org website

Kimberly Lee, MD · Answer

The photos that you provided are limited in terms of quality and views, but the asymmetry you note is visible. There are several options (both surgical and non-surgical) that can improve this asymmetry. However, to determine which method is best, a consultation is warranted. Please consult with a board certified specialist who can best assist you in achieving the results you seek.

Barry L. Eppley, MD, DMD · Answer

Your one eye brow is lower than the other one. This also causes skin of the upper eyelid to be pushed down, creating eyelid asymmetry as well. You may benefit by a unilateral browlift, preferably done with an endoscopic technique.

Can Unparalleled Eyes Be Corrected (photo)?

Answers (3)

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