Asymmetric Eyes · Ptosis Correction Case Study

Asymmetric Eyes · Ptosis Correction Case Study

Today I want to walk through a case of asymmetric eyes corrected with ptosis surgery.

There is an earlier post on this topic that may help as background.

The patient had previously undergone non-incisional ptosis correction elsewhere, but the asymmetry remained. Asymmetric eyes are very difficult to correct with the non-incisional method. Unless the case is mild — closer to pseudoptosis, where simply forming a double fold can balance the two sides — the non-incisional approach rarely produces symmetry.

In this patient's photo, the left eye (her right) looks noticeably sleepier than the other side.

When the patient's right eye is the dominant one, Hering's law of equal innervation can come into play (I will cover this in a future post).

All of these factors have to be considered before surgery.

One week after surgery. There is still some swelling and bruising, but the pupils sit symmetrically.

One caveat: when ptosis correction is performed more on one side than the other, swelling can subside at slightly different rates. Individual variation is to be expected.

Here is another related case worth a look.