This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
I naturally have uneven eyelids where one top lid rests farther down on my eyeball than the other, causing my eyes to look different sized. The effect is extremely visible when I smile, since my eyes crease slightly and the uneven lid is even more noticeable. I am an Asian female and have thus far tried to tone down this effect with makeup but I was wondering what my options were for surgery. I naturally have a small crease in my eyes so I don't necessarily need the "double eyelid surgery". Can this be fixed by a traditional "eyelid lift" or is there another particular procedure that's optimal?
typically in asians the reason for the discrepancy is that the side that has a more open eye also has a deeper crease. the side that has the smaller eye "has a crease" but is far weaker. if that is the case, then typically a double eyelid procedure should improve the situation quite a bit. if that is not the case, then you may have what is known as blepharoptosis requiring a muscle suspension procedure to fix it. an eyelid or brow lift will not help and sometimes actually worsen it since there can a reflexive drop further in the eyelid position after the brows are lifted upward.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery