Can My Asymmetric Eyes Be Fixed?

Q: Dr. Eppley, My eyes are uneven and I’m looking for something to help with it. Would you be able to help? Here is a picture for reference. Thank you!

A: You are referring to Vertical Orbital Dystopia (VOD) in which one eye is usually lower than the other one and more times than not it is the right eye that is the lower one. There are a variety of VOD techniques to decrease the eye asymmetry by moving the right eye upward as well as adjusting the soft tissues around the uplifted eye (brows and eyelids) to accommodate the new eye position. (you can’t just move the eye alone as that will create a new aesthetic problem.)

The question is not whether VOD surgery can be done but how much improvement can be obtained and is it worth it. To make a more complete assessment I need a true front non-smiling face picture to do a numerical assessment and a 3D CT scan to assess the underlying bone structure. (only needed of we determine you want to move forward)

Dr. Barry Eppley

World-Renowned Plastic Surgeon