Would a blepharoplasty be the correct procedure to address my concerns? Asymmetry, extra skin, and drooping. (photos)

Question

My eyelids are not symmetrical- ie one eyelid droops over my eye more than the other (it feels like it gets worse when I get tired as well). I also have a lot of extra skin/fat below my eyebrow that feels like excess, and my outer corners of my eyes droop. Would a blepharoplasty address these concerns?

C. Blake Perry, MD · Answer

Your eyelid appearance is a result of the eyelid height/shape, brow position, and soft tissue around the eyes. You have lost some volume in the superior sulcus (space between the lid and brow) and you have mild ptosis. Best to see an eyelid expert.

Cory Bovenzi, MD · Answer

Hi and thanks for the question! It appears you have hypoglobus of the left eye where the eye socket itself is lower. This is not something that is easily fixed, even with surgery. I would not recommend blepharoplasty nor ptosis repair (other surgeries for asymmetric eyes). Many people have hypoglobus and only some people look closely enough to notice it. The vision is usually only affected when hypoglobus is severe or happens suddenly. In rare circumstances, it can be caused by an underlying medical condition such as a previously broken bone (Orbital floor fracture) or sinus disease (silent sinus syndrome)

Carrie L. Morris, MD, FACS · Answer

If your eyelid margin (edge) is truly lower on one eyelid than the other, then you likely have eyelid ptosis (a weak eyelid muscle). This is corrected by tightening one or both of the eyelid muscles that raise your eyelid, which is called ptosis repair. You also may have some redundant eyelid skin (dermatochalasis), which can also be addressed by performing a blepharoplasty.

Would a blepharoplasty be the correct procedure to address my concerns? Asymmetry, extra skin, and drooping. (photos)

Answers (3)

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