A face is considered symmetrical when the distance between the forehead and the nose, the nose and the lips, and the lips and the chin are proportionate. However, there are no absolute values for measuring asymmetries, and often a slightly asymmetrical face can be more distinctive than a perfectly symmetrical one. It is important to note that we all have slight differences between one side of our face or body and the other. In some cases, these differences are more noticeable, while in others, the face or body still appears harmonious overall.
These are very common imperfections that can greatly influence a person’s attitude. Not feeling comfortable with their appearance may lead to difficulties in social interactions and a loss of self-confidence. These imperfections can affect not only aesthetic appearance but also, in some cases, visual function, especially because such asymmetries often involve the eyes, eyebrows, mouth, and smile.
In this article, we will explore the causes of ocular asymmetry and the available solutions, both surgical and non-surgical.
CAUSES OF EYELID AND EYE ASYMMETRY
Asymmetry can stem from a variety of factors:
- Genetics: Facial characteristics, including the shape and position of the eyes, are often hereditary.
- Aging: As we age, the tissues around the eyes may lose elasticity and tone, leading to greater asymmetry. In particular, the periorbital fat (ROOF, SOOF) and the superficial compartments of facial fat are among the first to lose firmness and volume, resulting in sunken eyes, and a deficit of volume in the lower and lateral orbit.
- Medical conditions: Conditions like blepharoptosis (droopy eyelid), thyroid disorders, or trauma can cause or worsen asymmetry.
- Previous surgery: Eye or facial surgeries can sometimes result in asymmetries.
- Facial expressions: Habits such as squinting or making facial grimaces can affect the symmetry of the eyes and eyelids, especially in patients affected by facial paralysis.
HOW TO CORRECT EYELID AND EYE ASYMMETRY
A consultation with an oculoplastic surgeon will help to identify the most appropriate surgery or aesthetic treatment to restore symmetry and harmony to the face.
For those wishing to correct asymmetry without surgery, there are several options:
- Makeup: Makeup techniques can create the illusion of symmetry. Strategic shading and highlighting can help balance differences.
- Botox: Botox injections can relax muscles around the eyes, helping to lift a droopy eyelid or improve eyebrow symmetry.
- Fillers: Dermal fillers can be used to fill the upper eyelids, improving symmetry, such as with upper eyelid fillers.
- Glasses: Corrective lenses or glasses with specific frames can help mask asymmetries and improve the overall appearance.
- Eyelash extensions or lamination: These advanced aesthetic alternatives aim to enhance the eye’s opening, which may be reduced by a drooping upper eyelid (ptosis). These issues are common and can significantly impact a person’s self-esteem and how they interact with others. Such imperfections may affect both aesthetics and, in some cases, visual function, especially since these asymmetries often involve the eyes, eyebrows, mouth, and smile.


At this link, you can browse the photo gallery of other cases: Before/After Upper Eyelid Filler Photos.
When non-surgical solutions are insufficient, or when the asymmetry is particularly pronounced, surgery can be considered. Here are some procedures:
- Blepharoplasty: This surgery can help correct or reduce significant asymmetry of the eyelids and eyes by removing excess skin or fat. It can be performed on the upper eyelid, lower eyelid, or both.
- Ptosis correction: One or both upper eyelids are lower than their normal level, reducing the palpebral fissure (the space between the upper and lower eyelids), making it asymmetrical compared to the other eye, to varying degrees. Ptosis surgery is not only cosmetic but also functional, as it improves both the appearance of the eyelids and the upper and lateral visual field.
- Eyebrow lift: This surgical procedure raises the outer part of the brow and tightens the skin around the temples and lateral eye area. This lift can help correct asymmetry in the upper face.
- Eyelid retraction correction: The patient presents a clinical picture characterized by an increase in the width of the palpebral fissure, resulting in exposure of the white part of the eye (sclera). Those affected typically have a startled and frightened appearance. The most common causes are thyroid ophthalmopathy or Graves’ disease, trauma, eye tumors, or previous blepharoplasty surgeries.
1 of 2

At this link, you can browse the photo gallery of other surgical cases: Before/After Ptosis Photos.
THE IMPORTANCE OF CHOOSING AN OCULOPLASTIC SURGEON
It is important to consult with a qualified medical professional to determine the cause and discuss the most appropriate treatment options for correcting eyelid and eye asymmetries.
Dr. Graziani, as an oculoplastic surgeon, exclusively focuses on the eye area and the face as a whole. His specialization in the periocular region, particularly in resolving asymmetries, allows him to perform a high number of surgical procedures and specialized treatments in a well-defined area, offering the patient the best results with innovative, minimally invasive, and up-to-date techniques, even at an international level.
FINAL CONSIDERATIONS
Eyelid and eye asymmetry is a common condition. Choosing to correct it depends on individual preferences and the degree of asymmetry.
Whether choosing a non-surgical solution or surgery, the primary goal is to improve the aesthetic appearance and boost self-confidence while maintaining the health and functionality of the eyes.
Remember, beauty often lies in imperfections, and asymmetry can give character and uniqueness to your appearance. The real secret is not in seeking perfect symmetry, but in appreciating the overall harmony of a face.
Oculoplastic Editorial Team – Dr. Graziani