Eyelid asymmetry can be subtle or dramatic, but when it has been present for years, it can affect more than appearance alone. Long-standing unevenness may cause one eyelid to appear heavier, more hooded, or more open than the other, often contributing to a tired or unbalanced expression. At Shah Plastic Surgery in Springfield, MO, Dr. Bharat Shah, double board-certified plastic surgeon and regional leader in facial aesthetics, offers advanced eyelid surgery techniques designed to restore harmony with precision and artistry. His approach prioritizes natural-looking refinement, personalized planning, and meticulous attention to detail. This blog will show how eyelid surgery can resolve asymmetry that has persisted for years.
Why Eyelid Asymmetry Happens
Eyelid asymmetry is more common than many realize, and it often develops gradually over time. Variations may stem from natural differences in eyelid anatomy, age-related laxity, or changes in the muscles and fat pads that support the eyes. Understanding the source of the imbalance is essential before determining the most effective correction.
Some of the most frequent contributors to long-standing eyelid asymmetry include:
- Age-related loosening of the upper or lower eyelids
- Differences in eyelid muscle strength that influence lid height
- Uneven fat distribution that creates one-sided puffiness or hollowing
- Natural anatomical variations present since childhood
How Dr. Shah Corrects Long-Standing Asymmetry
Every eyelid surgery performed by Dr. Shah begins with a detailed evaluation of each eyelid as its own structure, ensuring that the adjustments for each side are purposeful rather than symmetrical by default. Asymmetry requires a customized approach, because copying the same technique on both sides rarely produces a balanced result.
To achieve harmony, Dr. Shah may:
- Remove excess skin to match eyelid height and contour
- Address muscle laxity that causes one lid to appear heavier
- Refine or reposition fat to correct puffiness or hollowing
- Adjust the crease for improved symmetry and definition
What the Procedure Is Like
Eyelid surgery for asymmetry follows many of the same steps as traditional blepharoplasty but with additional attention to individual differences. The procedure is typically performed using local anesthesia with oral or intravenous sedation, providing comfort throughout the experience.
For upper eyelids, an incision is placed in the natural crease so excess skin and tissue can be addressed with discretion. Lower eyelid surgery may use an incision inside the lash line to avoid visible scarring. Each adjustment is designed to improve balance between the eyes while enhancing the overall expression.
Natural-Looking Results That Preserve Your Expression
A common concern among patients who have lived with eyelid asymmetry for years is whether surgery will look artificial or change their expression too dramatically. Dr. Shah’s philosophy centers on subtle enhancement. Each adjustment is performed with care so the final result feels like you, only more refreshed. His reputation for elegance and refinement stems from this commitment to artistry.
Take the First Step Toward Balanced, Refreshed Eyes
For those who have lived with eyelid asymmetry for years, a precise surgical approach can create meaningful improvement in both appearance and confidence. At Shah Plastic Surgery, Dr. Shah provides a private, patient-centered experience supported by meticulous technique and natural-looking results. If you are ready to address long-standing eyelid asymmetry and achieve balanced, refreshed rejuvenation, schedule a consultation with Dr. Shah to learn how his expertise can guide your next steps.