Is upper eyelid surgery a solution to my eyelid asymmetry? (photos)

Question

I have a small eyelid assymetry which is genetic since i had it since i was a child : my right eyelid is slightly more hooded than the other. My question is: can i reduce the assymetry with upper blepharoplasty without having to remove a lot of skin and fat? I only want a small change and i am afraid of getting hollow upper eyelids. I am not interested in any botox or lasers.

Kenneth D. Steinsapir, MD · Answer

Sorry, eyelid surgeons are just not this good. A blepharoplasty to address the "slightly more hooded" right upper eyelid, assuming you can get someone to operate on it, will be a disaster. If you carefully study your photo, you will notice that you carry your left eyebrow higher than the right eyebrow. The right upper eyelid is slightly more ptotic than the left upper eyelid. It suggests that you have some latent ptosis in the left upper eyelid that is stimulating more eyebrow compensation on the left side. I can not tell you precisely what would happen if you have a "conservative" blepharoplasty on the right side without a detailed, in person consultation. What I can tell you is a guarantee that 99.9% of the eyelid plastic surgeons you might see will misunderstand what you are looking for and will make you much less happy with your appearance. Caution is advised.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Donald B. Yoo, MD, FACS · Answer

Although an in-person exam would be necessary to provide a definitive answer, based on the photo you have provided it does appear possible to give you a crease that is higher and more symmetric with upper eyelid surgery. During the surgery a small amount of fat will be removed, and your crease will be formed and set at a bit higher. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. @drdonyoo

William Portuese, MD · Answer

You're right eyelid is a little more hooded than your left. Eyelid A very conservative skin only Upper blepharoplasty on the right side should be able to come pretty close to matching your left eyelid.

Is upper eyelid surgery a solution to my eyelid asymmetry? (photos)

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Answer: Is upper eyelid surgery a solution to my eyelid asymmetry?

Answer: Is upper eyelid surgery a solution to my eyelid asymmetry?

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Everything you need to know about Eyelid Surgery

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Is upper eyelid surgery a solution to my eyelid asymmetry? (photos)

Answers (4)

Answer: Is upper eyelid surgery a solution to my eyelid asymmetry?

Answer: Is upper eyelid surgery a solution to my eyelid asymmetry?

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.