How to Correct Asymmetrical Eyes and Uneven Eye Shapes

In this post, I will discuss how to correct uneven eyes when eye asymmetry is present.

Usually, eye asymmetry can exist on its own, but in many cases, it is accompanied by general facial asymmetry.

For example, in this patient’s case, the right eyebrow is higher while the left eyebrow is lower.

Additionally, the left eye is relatively smaller than the right eye.

In such cases, it is extremely difficult to achieve perfect symmetry.

This is because even with procedures like ptosis correction, the position of the eyebrows will not automatically become level.

For this patient, we performed a slightly stronger ptosis correction on the left side compared to the right and excised more skin on the left side.

By doing so, we can achieve a much more balanced appearance.

This is a photo taken 7 days after the surgery. While the eyebrow positions remain unchanged, the eye sizes are now almost identical.

This patient is a male who underwent ‘monolid ptosis correction’.

After one month, most of the swelling has subsided. The eye sizes are nearly the same, although the eyebrow positions still differ.

Let’s look at another case.

In this case as well, you can see that the patient’s left eye is smaller than the right eye.

You can also observe that the lower eyelid indicated by the arrow is higher compared to the right eye.

Even in these situations, it is possible to make the eyes look as similar as possible through surgical intervention.

Frequently Asked Questions

Can eye asymmetry surgery create perfect symmetry?

No, achieving perfect symmetry is very difficult. Eye asymmetry often accompanies facial asymmetry, so even with ptosis correction surgery, skeletal parts like eyebrow position cannot be perfectly corrected. However, surgery can correct them to appear as similar as possible.

How do you correct uneven eyes where one eye is smaller?

Correction is done by performing different degrees of surgery on both eyes. Ptosis correction is performed more strongly on the relatively smaller eye, and if necessary, more skin is excised to make the size of both eyes roughly similar.

Does ptosis correction surgery make eyebrow positions the same?

No, the position of the eyebrows does not change. In the case examples in the main text, even after ptosis correction surgery, the eye sizes became almost similar, but the original height difference between the eyebrows remained unchanged after the surgery.

When does the swelling subside after male monolid ptosis correction surgery?

Usually, most of the swelling subsides about 1 month after surgery. Looking at the male patient case in the main text, there is still swelling on the 7th day after surgery, but by the 1-month mark, most of the swelling has subsided, and the corrected eye size has naturally settled.