Today's post is on how to address asymmetric eyes.
Eye asymmetry is sometimes an isolated finding, but very often it is part of a broader facial asymmetry.
In this patient, for example, the right brow sits higher and the left brow sits lower.
Her left eye is also relatively smaller than the right.
When this is the underlying picture, getting the two eyes to match perfectly is genuinely difficult.
Even ptosis correction will not move the brow position itself, so the asymmetry above the lid persists.
For this patient, I did slightly more ptosis correction on the left and excised a bit more skin on that side as well.
That is the broad approach.
The result is a reasonably matched appearance.
This is at one week post-op. The brow position has not changed, but the eye opening is now nearly symmetric.
This next patient is a man who underwent ptosis correction without a double-eyelid crease.
At one month, with the swelling largely resolved, the eye openings are nearly equal even though the brow heights are still different.
Another case.
Here, too, you can see her left eye is smaller than her right.
The arrow points to the lower lid, which sits higher on the patient's left side compared to the right.
We can get the two sides to look very close to matched.