Uneven Eyelids: Causes, Treatment, and Eyelid Surgery Options

21 Feb

By Miss Jurga Pikturnaite and Mr Shaheel Chummun

Facial symmetry plays a key role in overall aesthetics, and even slight differences in eyelid shape or position can create an unbalanced appearance. Uneven eyelids, also known as eyelid asymmetry, can occur naturally or develop over time due to ageing, muscle weakness, or underlying medical conditions such as ptosis of the eyelid. In some cases, asymmetry may be mild and barely noticeable, while in others, it can affect both appearance and vision, leading to concerns such as droopy eyes or sagging eyelids.

For those looking to correct uneven eyelids, eyelid surgery—known as blepharoplasty surgery—offers a highly effective and long-lasting solution. Whether performed for aesthetic enhancement or to improve vision by lifting droopy eyelids, this procedure helps restore balance and symmetry to the eyes. At Emendo Surgical Group, our expert surgeons specialise in upper eyelid surgery and lower blepharoplasty, providing tailored treatments that enhance both form and function with natural-looking results.

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Is There a Way to Correct Uneven Eyelids?

For those wondering how to fix uneven eyelids, there are both surgical and non-surgical options available, depending on the severity of the asymmetry and the desired outcome. While some mild cases of eyelid unevenness can be improved with temporary solutions, more significant asymmetry—especially due to ptosis, sagging eyelids, or excess skin—often requires eyelid surgery for a long-lasting correction.

Non-Surgical Treatments for Uneven Eyelids

If you're looking for how to fix uneven eyelids naturally, non-invasive treatments may help in certain cases. Options include:

Botox for eyelid asymmetry: Strategic Botox injections can subtly lift a droopy eyelid, balancing the appearance of the eyes. This is effective for cases caused by muscle imbalances but is temporary, typically lasting 3-4 months.

Dermal fillers: For patients with volume loss around the eyes, fillers can restore symmetry by lifting the brow or addressing hollowness. However, fillers do not correct true ptosis eye or severe eyelid problems.
Skin-tightening treatments: Laser therapy and radiofrequency can tighten loose skin, offering mild improvement for hooded eyelids but are not effective for structural issues like droopy eyelid surgery.

Surgical Options for Correcting Uneven Eyelids

For a permanent and more precise solution, eyelid blepharoplasty is the gold standard for correcting eyelid asymmetry. The most common procedures include:

Upper blepharoplasty: This procedure removes excess skin and fat from the upper eyelid to correct sagging eyelids or hooded eyelids, creating a more open and symmetrical look.

Lower blepharoplasty: Often chosen for eye bag removal, this procedure eliminates puffiness and excess fat beneath the eyes, improving overall facial balance.
Droopy eyelid surgery (ptosis correction): If ptosis of the eyelid is causing significant asymmetry, this surgery tightens the levator muscle to lift the droopy eyelid, restoring proper function and appearance.
Eyelid lift combined with brow lift: For some patients, an operation to lift eyelids may be combined with a brow lift to enhance results and achieve better symmetry.

For those looking for long-term results, blepharoplasty surgery remains the most effective way to correct uneven eyelids. At Emendo Surgical Group, we offer personalised treatment plans to help patients achieve natural-looking, symmetrical results through upper eyelid surgery, lower blepharoplasty, and droopy eyelid surgery.

What is Blepharoplasty?

Blepharoplasty surgery, commonly known as eyelid surgery, is a procedure designed to improve the appearance and function of the eyelids by removing excess skin, fat, or muscle. It is often performed to correct sagging eyelids, droopy eyelids, or hooded eyelids, helping to restore a more youthful and refreshed look. In cases of ptosis of the eyelid, the surgery can also lift the eyelid to improve vision and symmetry.

There are two main types of eyelid blepharoplasty: upper blepharoplasty, which targets the upper eyelids to correct droopy eyes or excess skin, and lower blepharoplasty, which is commonly performed for eye bag removal and to reduce puffiness. Whether for aesthetic enhancement or functional improvement, blepharoplasty surgery offers long-lasting results, helping patients achieve a more balanced and rejuvenated appearance.

What to Expect from Eyelid Surgery

Before Surgery

Prior to eyelid surgery, you will have a consultation in which your surgeon will assess your eyelid problems, discuss your concerns, and determine which eyelid surgery is the best option for you. You’ll receive personalised pre-surgery instructions, including advice on medications, lifestyle adjustments, and what to expect during recovery.

During Surgery

The procedure is typically performed under local or general anaesthesia, depending on the complexity of your eyelid blepharoplasty. Your surgeon will make precise incisions along the natural eyelid creases to minimise scarring, removing or repositioning excess skin and fat to correct sagging eyelids or droopy eyes. The surgery usually takes 1-2 hours, and patients can return home the same day.

After Surgery

Recovery from blepharoplasty surgery involves some swelling and bruising, which typically subsides within 1-2 weeks. Most patients can resume light activities after a few days, with full healing taking a few weeks. Your surgeon will provide aftercare instructions to ensure optimal healing and long-lasting results. The final outcome will reveal more symmetrical, youthful-looking eyes, with improved function for those undergoing droopy eyelid surgery.

Who is Eyelid Surgery Suitable For?

Eyelid surgery is an excellent option for individuals looking to correct uneven eyelids, sagging eyelids, or droopy eyes that affect their appearance or vision. The procedure is suitable for both aesthetic and functional concerns, helping patients achieve a more balanced, refreshed look.

You may be a good candidate for blepharoplasty surgery if you:

Have eyelid asymmetry or ptosis of the eyelid that affects facial balance.
Experience vision obstruction due to hooded eyelids or droopy eyelids.
Want to address puffiness or excess skin through upper blepharoplasty or lower blepharoplasty for eye bag removal.
Are in good general health, with no medical conditions that could affect healing.
Have realistic expectations about the results of eyelid lift surgery.

A consultation with a specialist at Emendo Surgical Group will determine whether eyelid blepharoplasty is the right solution for you, ensuring a personalised approach to achieving natural and long-lasting results.

How Much Does Blepharoplasty Cost?

The cost of blepharoplasty surgery varies on a myriad of factors, such as surgical complexity, chosen hospital, patient needs and more. Factors such as whether you require upper blepharoplasty, lower blepharoplasty, or droopy eyelid surgery, as well as any additional adjustments, will influence the final price.

During your consultation at Emendo Surgical Group, your surgeon will assess your eyelid problems, discuss your goals, and provide a personalised treatment plan with a detailed cost breakdown. This ensures you have a clear understanding of what to expect, and a tailored approach to achieving the best possible results.

Why Choose Emendo Surgical Group for Your Eyelid Surgery

At Emendo Surgical Group, our expert surgeons specialise in blepharoplasty surgery, providing precise treatments for uneven eyelids, droopy eyelids, and sagging eyelids. With extensive experience in upper blepharoplasty, lower blepharoplasty, and droopy eyelid surgery, we ensure natural-looking, tailored results.

Patient safety and satisfaction are our priorities. Using advanced techniques, we minimise scarring and optimise healing while providing exceptional post-operative care. Whether you need eye bag removal, an eyelid lift, or correction for ptosis of the eyelid, we’re committed to delivering outstanding results.