Why Are My Eyelids Uneven? How Can I Treat This? (photo)

I've had uneven eyelids my whole life and was wondering what the cause might be or what it's called. How much would it cost to fix it?

Doctor Answers 4

I personally would not provide a quote for this without a detailed personal consultation.

What you have is a double fold on the right and complex redundant fold in the left upper eyelid with a small degree of ptosis.  Repairing this might involve surgery on both eyelid.  Determine the best options certainly entails an actual personal consultation.  I would advise caution here and recommend getting several opinions.  

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Cause of eyelid asymmetry

The cause of asymmetry in eyelids can be due to the levator aponeurosis inserting at different levels in the skin of the upper lids.  This can be addressed through upper eyelid blepharoplasty to make the eyelids look more symmetrical.  It is important to reduce the double fold in 1 eye and raise the crease on the opposite eyelid to balance both eyelids out.  Consult with a facial plastic or oculoplastic surgeon.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Uneven eyelid creases

Hi Afx,

I see this in my office very frequently.  First of, the difference, while noticable to you and me may not be catching other peoples attention to much and there is no such thing as no-risk surgery.  In person exams are important and in your case you should get more than a few opinions from experienced eyelid surgeons who do more than just cosmetic cases because your eyelids would require what might be considered some minor reconstructive techniques.

1.  You have a normal single fold righ, and a complex (multi) fold left.  These can be matched to one another but may require surgery on both sides.  Your left eyelid skin as multiple attachments on it's undersurface to a muscle called the levator and that lid may have a little less fat volume that the right.

2.  That being said you may need a little skin out on the right and release of attachments of the left lid with reattachment in a single line to the levator below.  Basically these are two open procedures that take about a week to recover from.  Not that bad.

3.  Left lower lid is lower than the right.  I wouldn't mess with it. . .until your older.

4.  Easiest thing you could try that would be temporary would be to put a small amount of filler into the left upper lid.  It may work and it may give you and idea of what you'd look like if you had surgery.  Down side -> it's temporary.  Up side -> it's temporary.  You can melt the filler as long as it's a hyalorinic acid with something called hyaloronidase.

Hope that helps.  Your problem is a common one.  Best of luck

Chase Lay, MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Would recommend to leave it alone

Your upper eyelids are different,but surgery may make your upper lid to look more surgical. Your lower lids are different and if you just fix the upper lid,it may become more noticeable. Leave them alone.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.8 out of 5 stars 122 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.