Can My Eye Asymmetry Be Improved?

Q: Dr. Eppley, I’m messaging you because for some time I’ve been unhappy with my facial symmetry but I can’t quite put a finger on what it is. I think it’s a combination of the dynamics between my nose, my eyes and my eyes brows being uneven but I’m not exactly sure. I have messaged you in the past with a couple of concerns that I thought might have been the problem I was unhappy with but I don’t think those were the issues since I couldn’t quite articulate what It was I was unhappy with. Long story short, rather than coming up with different “hypothesis” as to what I think is wrong, I’ve uploaded some photos and if you can, I’d like you to tell me what you think it is that I am seeing or what is asymmetric that is making me unhappy and could stand to be corrected. I definitely think it’s something to do with my nose, eyebrows and eyes. My nose I feel tilts to one side, one eyebrow is lower than the other and one eye appears opened wider than the other.

A:Your facial asymmetry is largely around the eyes, particular the right eye which is set back and a bit lower than the left side. In essence you have a right periorbital facial asymmetry. Such facial asymmetry’s are very apparent to people, even if it is minor in magnitude, because it is the first thing that you see and look at the most on your face.

That being said,  however, there is no good surgical procedure to make any improvement with this type of periorbital asymmetry. Meaning surgery is just as likely to make it worse as it is to have a chance to make it better.

Dr. Barry Eppley