Types of asymmetry
Common patterns:
- Lid level (ptosis) — one upper lid sitting lower than the other
- Crease height — different crease positions between sides
- Fold depth — one upper lid more hooded than the other
- Lower lid fat — bags more prominent on one side
- Brow level — one brow consistently higher (often related to facial nerve dynamics, not surgical)
Almost everyone has some asymmetry — perfect facial symmetry doesn't exist. The clinical question is whether the asymmetry is enough to bother the patient and whether surgery can meaningfully improve it.
When ptosis is the underlying issue
True eyelid ptosis (drooping due to levator muscle weakness, not just skin hooding) is a different operation from blepharoplasty — the levator aponeurosis is reattached or shortened to lift the lid.
If your "hooded" lid is actually ptosis, doing blepharoplasty alone will not correct the asymmetry — the lid will still sit lower, just with less skin overhanging it. Proper diagnosis (margin-reflex distance measurement, levator function testing) before surgery is essential.
Frequently asked questions
Will surgery make my eyes symmetric?
Surgery typically reduces asymmetry but rarely eliminates it. The honest goal is 'less asymmetric,' not 'perfectly symmetric.' A surgeon who promises perfect symmetry is overconfident.
Why are my eyes asymmetric in the first place?
Genetics, lifelong sleeping position, prior trauma, gradual differential aging, dental occlusion patterns, dominant-side eye use. Often a combination, often impossible to fully attribute.
Not sure if you're a candidate?
Blepharoplasty is most successful when patient anatomy, age, and goals align with what surgery can realistically deliver. Send three facial photos (front, profile, eyes-closed) and Doç. Dr. Erdal will give you an honest, no-pressure suitability assessment before you commit to anything.
Ready to discuss your case?
Doç. Dr. Erdal personally reviews every enquiry. Honest assessment of whether blepharoplasty is right for you, with no pressure to book.