Uneven Eyelid Surgery - How to Get Rid of Uneven Eyelids

In this post, we will talk about how to get rid of uneven eyelids, a problem that has plagued many people in the past. More precisely, we will discuss cosmetic surgery for uneven eyelids that is used around the world - Singapore being no exception. Before you learn how the treatment works, you need to understand why uneven eyes happen in the first place. Only by recognising the causes can you get a better idea at how the condition should be addressed. Keep reading for all the details.

Why are my Eyelids so Uneven? What Causes Asymmetrical Eyes?

uneven eyelid

The biggest offender are your genes. They call the shots. But that alone does not exhaust the causes. Sometimes something as simple as an eye trauma can damage the nearby areas. A medical condition can have an impact on the sinus cavity and lead to a hollowed appearance. This includes bony defects, Paget disease, silent sinus syndrome, Bell's palsy, Graves’ disease and more.

Either of these could result in posterior displacement of the eye called enophthalmos. With some of these medical conditions, changes in the appearance happen suddenly.

Sometimes eye asymmetry is so pronounced that it can lead to vision problems or other symptoms. So, apart from the cosmetic reasons, patients may have medical concerns to request a treatment.

Stroke is another medical condition that might cause visible facial asymmetry. This is a medical emergency that goes beyond the cosmetic concerns and it has to be treated right away.

Sometimes uneven eyebrows could make your eyes appear asymmetrical. Other causes include ptosis (droopy eyelids) and proptosis. The former is a droopy eyelid which can be congenital or acquired. When it’s not present at birth, it tends to occur at an advanced age due to weakening of the muscles and the skin not being able to defy gravity anymore.

Ptosis affects one or both eyes and may give rise to vision problems. It occurs when the levator muscle weakens and stretches. If the eyelid droops so much that it interferes with your vision, ptosis surgery (which is double eyelid blepharoplasty) will be recommended.

When it comes to proptosis, we’re talking about bulging of the eyes. It may be accompanied by pain, fever, and pulsing eye (lacking in ptosis). It can too bring about vision problems.

And lastly, one eye may be slightly bigger than the other causing facial asymmetry. This can be camouflaged with makeup, preferably eye shadow and some contouring techniques. If you don’t know how to do that, search for free tips provided by makeup artists online.

One more thing to remember is that you don’t have to treat eyelid asymmetry if you don’t want to. Unless there is a medical concern, of course. Facial asymmetry is perfectly normal and sometimes it can be a good thing. Perhaps you’ve heard that perfect facial symmetry is oftentimes regarded as unattractive. It’s small things that make us beautiful and unique.

Is There a Surgery to Fix Uneven Eyes?

Yes, there is. Asymmetrical eyes can be corrected via an outpatient procedure dubbed upper lid blepharoplasty or double eyelid surgery. It has several purposes and counts on different techniques. The treatment works by repositioning fat and soft tissues, as well as eliminating excess skin and fat.

To be honest, it doesn’t actually even out the yes but it can still make them appear more symmetrical. Blepharoplasty may be performed both on the upper eyelids and the lower eyelid at that. It not only fixes eyelid asymmetry but it can add a crease if desired by the patient.

There are many peer-reviewed studies on blepharoplasty that offer an insight into the best techniques and the potential complications associated with the treatment. It is important that surgeons stay up to date with the latest findings coming from academic research institutions with strict sourcing guidelines. They should also listen to patients and define their goals well before they attempt to do any work.

Overall, two types of blepharoplasty can be distinguished: incision technique (open blepharoplasty surgery) and suture technique (non-incision blepharoplasty).

Incision blepharoplasty to remove excess skin and fat

The plastic surgeon will make a small cut into the upper eyelid skin and work with the tissues underneath. They may remove some of it or move it around to even it out with the other eyelid. If necessary, they will remove excess skin. The procedure could make changes to the levator muscle as necessary.

When all the steps are made, the incision will be closed. Such placement is made (along the eyelid line) that the stitches are nearly undetectable. The results are permanent and the only thing that can affect them over time is good old ageing. As people age, the soft tissues will relax, potentially ruining the outcome.

Suture blepharoplasty double eyelid surgery

Instead of actual incisions, the surgeon makes tiny punctures in the skin, big enough to hold a suture in. There is no visible scar and the results are temporary. Less bruising and swelling occurs.

It’s worth noting that the suture technique may be inefficient if eyelid asymmetry is too pronounced. It might work for minimal facial asymmetry provided that there is no excess fat or skin to remove.

The surgery will take around two hours, whether performed on the upper lid or the lower lid, or both.

Double eyelid blepharoplasty has a number of benefits. It creates a more youthful appearance by removing excess tissue and smoothing out wrinkles. Plus, it is used to add an upper crease on the eyelid (double eyelid fold) and make the eyes appear more open.

As mentioned earlier, blepharoplasty surgery can be carried out on the lower eyelids as well. Its purpose is to fix eye bags and eliminate wrinkles.

Note: Another procedure that can fix asymmetrical eyes is orbital surgery. It involves the eye socket or the cavity holding your eyeballs. It doesn’t affect the eye muscles.

How to Fix Asymmetrical Eyes without Cosmetic Surgery: Botox Brow Lift

If you’re looking for a nonsurgical option to correct uneven double eyelid, consider getting Botox, also known as a forehead lift or brow lift. But - and this is a huge but - before you get on with the procedure, you need to make sure it’s the right one for you.

Meaning, you need a medical check-up with a plastic surgeon who will evaluate your physical condition and the causes behind your uneven eyes. Botox works by relaxing the muscles, so once injected into the right spots, it can have a positive effect on the way your eyes appear.

Botox is not typically administered in the lower lid, so it will not be able to help with all your cosmetic eye problems. It’s primarily employed as a brow lift or to get rid of forehead wrinkles. Still, it can work to achieve better facial asymmetry.

How Much does it Cost to fix Asymmetrical Eyes?

Cost to fix Asymmetrical Eyes

Around the world, the price of double eyelid blepharoplasty is over $3,000 excluding expenses like medication, facility costs, surgeon’s fees, initial consultation, and anaesthesia. In Singapore, it may climb to $3,800-$4,500 (incision method). The suture technique runs along the lines of $3,200-$3,500. Again, additional expenses are not included. Read our full double eyelid cost breakdown in Singapore, Korea and SEA.

For Botox brow lift, you will pay between $12 and $25 per unit and you may need several units to get you covered.

When the problem is strictly cosmetic, insurance companies are not likely to reimburse the costs of your cosmetic procedure.

How Long Does It Take to Recover from Blepharoplasty Eyelid Surgery?

Before we proceed with the details, it’s worth clarifying that everyone will have a different recovery time and the length of the process will vary just like the healing abilities of each and every individual vary. In most cases, patients are back to normal in two weeks following the treatment. This is considered the initial healing and it reflects the time it takes for someone to restore their previous strength and return to their everyday activities.

Full healing is expected to occur within a few months post-op. In that regard, the results, although they are visible right away, will slowly unveil day after day.

On the day of your surgery, you will be monitored for a few hours and then discharged from the clinic. It’s important that you have someone ready to come pick you up and give you a ride home. You need to rest as much as possible but keep your head elevated. Ice packs are a great way to curb swelling. You will not be allowed to wear contact lenses during the first two weeks post-op.

Are There Any Side Effects and Potential Risks to Fixing Facial Asymmetry?

No treatment is without side effects and every procedure carries small risk. If you choose a well-trained surgeon, this lowers your chances of complications. The possible short-term effects of upper blepharoplasty include swelling, bruising, sensitivity to light, and blurry vision.

This is a normal reaction to the surgical procedure. Of course, there are risks associated with the administration of anaesthesia and IV sedation, such as blood clots, allergic reaction, and excessive bleeding.

As far as Botox is concerned, there may be pain in eyelid area, excessive tearing (watery eyes), dryness in the eyes, crooked smile, problem making facial expressions, nerve damage, and headaches.

Questions & Answers

Question and answers

Can Botox fix uneven eyelids?

Sometimes it can. If your eyebrows are asymmetrical, this will affect the appearance of your eyes as well. By having Botox injected into the muscles underneath the eyebrows, you can temporarily address the issue.

What exercises fix uneven eyelids?

There are no exercises to fix uneven eyelids since this is not a matter of working out. You need to address the cause in order to deal with the problem. If it is down to genetics, exercises will not be able to help. You need surgery. If it is due to ageing, there is no way to stop it, although you can probably slow it down a little. Again, surgery can give you the look you want. And if it happens because of an underlying medical condition, you have to get a treatment plan before you focus on the cosmetic aspect.

How is eyelid revision surgery carried out?

With revision blepharoplasty, the surgeon aims to correct issues that were left behind by the original surgical procedure, whether health complications or strictly aesthetic problems. They will focus all their attention on getting those right and achieving a symmetrical look. The double eyelid surgery may be performed under anaesthesia.

What happens during a revision blepharoplasty consultation?

The main goal is to discuss the problem areas, examine the patient, and come up with a surgery plan that will address the corrections that have to be made.

How long should I wait before having revision blepharoplasty?

You should let at least six months go by after your initial blepharoplasty so that the full results can unveil. If you are still not completely happy with your new look, you can discuss a revision procedure with your doctor.

Can you fix asymmetrical eyelids with eyelid tape?

Not really. Eyelid tape may help to achieve a temporary look but it’s not a solution. Some cosmetic procedures, on the other hand, can work wonders on the skin. Double eyelid surgery, or blepharoplasty, is one such treatment.

What medical conditions can cause uneven eyes?

Bell’s palsy is one that comes to mind. It’s a temporary facial paralysis that begins suddenly due to a damaged nerve and resolves on its own. In most cases, it affects one side of the face and therefore only one eye appears different. Once it goes away, the face returns to normal. There are no complications.

Another condition that may cause changes in one eyelid or both is Graves' disease. In addition to uneven eyes, it brings about heat intolerance, sleep problems, and irregular heartbeat. Other signs include enlarged thyroid, irritability, and hand tremors.

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