One Eye Bigger Than the Other? (photo)

You do have marked facial asymmetry.  The left eye does appear much smaller than the right.  This is not simply a cosmetic issue.  You need to be assessed for this.  Is this a new phenomena that is getting progressively worse.  This might be consistent with a syndrome called the "silent sinus syndrome."  This is caused by closure of the maxillary sinus due to sinus disease which results in the sinus collapsing.  The cure is to open the sinus with sinus surgery and repair the orbit if indicated.  Other causes may not be progressive such and having eyes of different size.  Sometimes the issue is heaviness of the eyelid that makes one eye appear smaller.  Expert assessment will determine the basis for this asymmetry and what should be done if anything.  This is not just a cosmetic issue.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains as website with a regional directory that can help you find a well qualified surgeon in your area to consult with.

Hi there,
You do appear to have a minor asymmetry between your two eyes based on the photo you supply. It's difficult to pinpoint the exact cause without a proper in person clinical assessment with clinical history and physical examination. However it's important to understand that it's quite normal to have some intrinsic difference between the 2 sides and no two paired structures in the human body is ever meant to be exactly symmetrical, whether it's your eyes, eyelids, eye brows, ears, breasts, hands and feet etc.
It'll be good to compare with any of your old photos especially if you just noticed the difference now. In order to work out the most appropriate option in optimising your eye symmetry, the underlying cause will need to be ascertained as it'll involve different management options. Any underlying differences in your bony orbit, depth of your eye socket, position of your eye globe could impact on how your eyelids and periorbital aesthetics being perceived. It'll be best to see a qualified specialist in this area for further assessment.
Hope this helps.
Best wishes
Ellis Choy

It is completely normal for one eye to be a little different than the other. The two sides of the face develop independently and then fuse in the midline, so it is perfectly natural for one side of the face, or eye, or ear to be a little different from the other side. As you stated, it is very hard to see when just casually looking at the face - you have to look hard to see it. So it is not worth undergoing surgery for it and there aren't really any nonsurgical treatments either.

Thank you for your pictures.  Part of any assessment by a board-certified plastic surgeonspecifically trained in eyelid surgery would involve a comprehensive assessment of the bony aspect of her face as well as any asymmetry of the eyes. Silent sinus syndrome can occur but is fairly rare.  I do notice that the right lower eyelid is slightly inferiorly placed compared to the left lower eyelid.  The upper eyelid position looks rather symmetric.  After a comprehensive exam to rule out any deeper tissue, a very small amount of Botox near the lower eyelid may help restore symmetry to your eyes. I would definitely recommended assessment by qualified surgeon. 

Good question. If you look closely, almost everyone has some degree of facial asymmetry. In fact, people with complete facial symmetry often have a slightly visually "odd" appearance to our brains. You are certainly correct, your right eye appears slightly larger than the left, but overall it is quite difficult to tell unless looking closely. I would make sure that this is not something that has progressed or changed over time as it can be a marker of underlying eye issues (ptosis), though I think this is less likely. If this is mostly bothersome in photos, then there are certainly ways to address this (ie closing both eyelids slightly to compensate). As far as non-surgical options, I would be hesitant to suggest that anything will make a noticeable difference as this is such a subtle difference to start with.
Hope this helps!Kyle Kimura, MDFacial Plastic and Reconstructive Surgery

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

First off, asymmetry if very common and mild degrees of asymmetry is normal. However, if you think the appearance of your eyes are CHANGING, you should have an eye exam as it could be one of the following reasons:1- Eyelid malposition: sometimes one eyelid can droop or become retracted depending on the underlying cause 2- Globe malposition: the eye can become bulgy in certain eye conditions (eg. Graves) or retracted in other conditions (eye socket enlargement)

Hello,

Some degree of asymmetry exists in everyone. However, if you are noticing recent or increasing changes it's best to undergo a thorough ophthalmologic assessment to rule out any underlying medical conditions.
Otherwise, it is not advisable to undergo surgery to improve minor asymmetry. You can instead consider strategic injectable (BOTOX & filler) treatments that may be helpful rather than relying on exercises that are not likely to be beneficial.

Warm regards,

Dr. Pedy Ganchi
Village Plastic Surgery

Most people have some degree of asymmetry between the two eyes. Your left eye looks a little smaller than the right. This can be caused by a weakness in the muscle that opens the eye. If this is a new change or a concern. I would suggest that you consult with an oculoplastic doctor.

Thank you for your question. We all have natural asymmetries. When we are in the embryo, we develop from the periphery and fuse in the midline. Your right eye is more olive shaped, your left eye is more almond shaped.  Part of your natural beauty.Best wishes.

There can be various causes and this is more than a cosmetic issue. You should see an ASOPRS trained Oculoplastic Surgeon for evaluation. Treatment is possible depending on the cause.