Dr. Sam Lam Plastic Surgery Forum

Hi dr lam !
I need to consult you regarding an issue about my eyes
I have asymmetrical eyes as in my left eye is appearing to be higher than my right eye. and its quite noticeable. I even made sure that im right by placing a ruler to compare the upper lids and the lower lids. Is there anyway to fix this problem?

Since my left eye is higher than my right eye, my LEFT eye's upperlid and lowerlid appears to be higher than my right eye. So I feel my bone at the forehead above both eyes and indeed, the bone at my right eye is positioned lower. Overall i feel that this is an asymmetry between my left and right face and it happen to affect my eyes alot. Does cutting a double eyelid fix this problem partially?

I hope that you can help me with this =)

thanks
andy

In general, facial asymmetry is almost impossible to fix. However, if you look at my before and after photos on my website for Asian double eyelid surgery (I am assuming you are Asian without a defined crease), then asymmetry can oftentimes be improved if one eyelid hangs a bit lower. Usually, the same side as the lower hanging eyelid has a smaller crease or less defined crease than the other side. Usually, in these situations, the eyelids CAN be more symmetrical afterward but there is obviously no guarantee since the muscle could be weaker on one side or for some other reason. Beyond that, other types of asymmetry (bone, eyeball, brow) are harder if not impossible to fix.

hey dr lam ,
thanks for the really fast reply ! =) I guess i know what you mean by a weaker muscle or my upperlid that is happen to be hanging a bit lower. So this is fixable by removing slightly more excess skin/fats from the eye which is appearing lower?

thanks
andy

actually no, the fat and skin are done in the same way. my fixation crease (muscle to skin attachment) creates better parity between the sides. the reason if the muscle is not weaker for the difference in the sides is that the eyelid with a less defined crease has the fat slip further down pushing the eyelid smaller, i.e., the crease usually props the fat up and limits the push on the bottom of the eyelid. that is a concept that is very hard to explain unless I show you a schematic in the book that I wrote, which I would be happy to do during a consultation (please remind me). However, if you are not born with a weaker muscle then it is easier to improve.
best,
sml