How to fix asymmetrical eyes

How to fix asymmetrical eyes

How to Fix Asymmetrical Eyes? All Methods Included

Having eyes that appear asymmetrical is a common issue that causes concern for many individuals. Some people may have had uneven eyes since childhood, whereas others only begin to notice the discrepancy clearly as they grow into adulthood. 

In reality, issues like drooping eyelids or asymmetrical eyelid creases stem from a variety of underlying causes. Each specific cause requires a distinct approach for correction in order to achieve eyes that are both aesthetically pleasing and function normally.

Clickable Topics of Interest

How to Fix Asymmetrical Eyes?

At TRP Hospital, doctors follow a detailed and meticulous assessment process to determine the root cause and design an eyelid crease perfectly suited for each individual patient. The steps are as follows:

  1. Checking the level of iris exposure: The doctor will start by pointing out and having the patient observe the visible level of the irises on both sides to analyze whether the eyes open symmetrically. This is a crucial key in diagnosing ptosis (eye muscle weakness).
  2. Analyzing structural causes: The doctor will determine whether the asymmetry is caused by excess eyelid skin drooping over the eye or if it stems from the eye muscles not functioning efficiently. This ensures the correct treatment method is selected.
  3. Simulating the actual eyelid crease: During the consultation, the doctor will use a specialized tool to temporarily create and simulate the new eyelid crease. They will compare the levels, allowing the patient to see a preview of how their eyes will beautifully improve after the procedure.
  4. Reviewing history and daily habits: The doctor will ask about everyday struggles, such as difficulties applying makeup, unpredictable eyelid creases that change daily, or any previous surgical history for revision cases. This information is vital for designing an eye shape that best complements the patient's lifestyle.

Click to read more about: How many types of asymmetrical eyes are there?

หนังตาไม่เท่ากัน แก้ยังไง

What Techniques Do Doctors Use to Fix Asymmetrical Eyelids?

The short-incision double eyelid surgery technique utilized by the doctors at TRP Hospital involves the "Eyelock" system—a method of puncturing and locking the eyelid crease securely in place. This innovation is highly effective because it can simultaneously address two issues: creating a new eyelid crease and adjusting the strength of weak eye muscles so that both eyes open equally at the same time.

The main highlight is the extremely small surgical scar, which means you don't need to waste time on a long recovery. During the surgery, patients typically only feel a slight pinch during the injection of local anesthesia. After that, they will not feel any pain throughout the entire procedure. Once finished, patients can return to their normal daily lives immediately, for example, being able to eat barbecue on the very first day.

Swelling and bruising are usually most visible on the second and third days, after which they will gradually subside. The doctor will schedule a quick stitch removal within just 3 days post-surgery. Once the stitches are removed, patients can immediately wash their faces and apply skincare products as normal. By day 14, the swelling will have completely gone down, leaving a smooth, beautiful eyelid crease with a surgical scar that is barely visible.

Click to read: Natural ways to fix asymmetrical eyes

1. The Short-Incision "Puncture and Lock" Technique

Suitable for:

  • Individuals with asymmetrical eyes: Whether it involves having eyes of noticeably different sizes, hidden double eyelids, or having a double eyelid on only one side.
  • Individuals with childhood ptosis (weak eye muscles): This is an anatomical condition where the muscle responsible for lifting the eyelid does not function fully (only able to lift the eyelid about 70%). This results in an asymmetrical display of the irises and gives the eyes a constantly sleepy or droopy appearance.
  • Individuals with unpredictable natural eyelid creases: Those whose eyelid folds change from day to day—for example, waking up with a monolid one day, a hidden crease the next, or even eyelids that stubbornly fold into 3 to 4 thick layers. This inconsistency makes daily life and applying makeup frustrating.
  • Individuals tired of relying on double eyelid stickers: Those who waste precious time every day applying tape, which often looks unnatural up close and easily peels off when exposed to humidity or wet weather during the rainy season.
  • Individuals needing corrective revision surgery: Patients who previously underwent double eyelid surgery with a doctor who was not a specialized eye expert, resulting in unbalanced, unnatural-looking eyes that now require professional correction.
แก้ตา3ชั้นข้างเดียว

2. Levator Muscle Surgery Technique

Surgery to treat ptosis (weak eye muscles) differs from standard double eyelid surgery because it requires the surgeon to directly adjust and lock the eye muscle responsible for opening the eyelid. In contrast, standard double eyelid surgery merely creates a fold in the eyelid skin.

However, the standout feature of TRP Hospital's "puncture and lock" technique is its ability to address both issues simultaneously in a single procedure: correcting the weak eye muscles while creating a beautiful new double eyelid crease. In the medical field, there are generally 3 main approaches to treating this condition:

  1. Long incision surgery: Making a wide incision to access and trim the stretched eye tissue before reconnecting it.
  2. Internal muscle adjustment surgery: For example, surgery on Müller's muscle (Müllerectomy).
  3. Small incision surgery using an eye muscle lock system: This involves making small punctures to lock the eyelid crease in place and hide the scar. This is a specialized technique developed by the Teeraporn ophthalmologist team.

At TRP Hospital, doctors primarily utilize the short-incision technique, adhering to the "Less is More" philosophy of Dr. Choladhis. This approach streamlines the surgical steps, achieving the desired results with the shortest possible scar and minimal swelling or bruising. Despite the minimal invasiveness, the eyes can open fully and brightly, and the surgical scar is exceptionally well-hidden.

Recovery Period

Following double eyelid surgery or ptosis (weak eye muscle) correction using the small or short-incision "Eyelock" technique at TRP Hospital, the recovery is remarkably fast and does not require a long period of downtime. The detailed timeline and self-care recommendations are as follows:

Recovery Timeline

  • Day 1 post-surgery (within the first 24 hours): The wound will have very minimal swelling and redness. Patients typically feel almost no pain or discomfort at all. You can immediately return to your normal daily activities—for instance, you can go shopping at the mall or enjoy a barbecue meal right after walking out of the operating room!
  • Days 2–3 post-surgery: This is the period when the wound will experience the most swelling and bruising (peaking during days 2 and 3). After this phase, the swelling and redness will gradually subside.
  • Day 3 post-surgery (Stitch removal day): The doctor will schedule an appointment for you to return to the clinic to have your stitches removed.
  • Day 14 post-surgery: All swelling and bruising will have completely disappeared. The eyelid crease will have settled into a smooth, beautiful shape, and the surgical scar will be so small that it is barely visible.
แก้ตาไม่เท่ากัน

Doctor's Recommended Self-Care During Recovery

  • Resting positions to reduce swelling: During the initial period following surgery, it is recommended that patients sleep with their head elevated on high pillows or choose to rest on a reclining sofa. Keeping the head elevated helps the surgical wound's swelling subside much faster.
  • Wound care after stitch removal (after Day 3): Once the nurse removes the stitches on the 3rd day, the surgical wound can immediately be exposed to water. Patients can wash their faces, apply their regular skincare creams, and return to their normal daily routines.
  • Follow-up appointment: After completing 14 days of self-care, the doctor will schedule the patient to return for a check-up to ensure everything has healed properly and to assess how well the eyes are settling into shape.
  • Special instructions for "long-incision double eyelid revision cases" with hard, raised scars: For patients who have previously undergone long-incision double eyelid surgery and have hard scars pulling on the eyelids, the doctor cannot perform revision surgery immediately. Instead, they will advise the patient to use eye drops or gently massage the eyelids with oil, combined with anti-fibrosis medication (injectable scar-dissolving medicine). Corrective surgery can only be performed once the eyelid tissue has sufficiently softened.

Frequently Asked Questions (FAQ)

How Much Does It Cost to Fix Asymmetrical Eyes?

Many people want to know the price before making a decision, which is completely normal. However, the reality is that the cost to correct asymmetrical eyes depends entirely on the specific nature of each individual's problem. There is no single, one-size-fits-all price. You can send in a photo for a preliminary assessment using the contact button below.

Testimonials

Summary

TRP Hospital resolves this issue using the short-incision "puncture and lock" technique (Eyelock). This method can comprehensively create a double eyelid surgery and balance the strength of the eye muscles simultaneously in a single procedure. This technique is much better suited for Asian eyes compared to traditional long-incision methods because it requires a small incision of only 1 to 1.5 centimeters. This significantly minimizes swelling and bruising and eliminates the risk of developing "centipede-like" (railroad track) scars.

During the surgery, patients will only feel a slight pinch during the local anesthesia injection. Immediately after the procedure is finished, you can resume your normal daily life—you can go shopping at the mall or enjoy a barbecue meal right away without needing any downtime. Swelling and bruising will peak on the 2nd and 3rd days. The doctor will schedule stitch removal on the 3rd day, after which the wound can safely come into contact with water, allowing you to wash your face and apply skincare creams as usual. The swelling will fully subside, leaving a smooth, beautifully settled eyelid crease within 14 days.

Content By

Picture of หมอชลธิศ
Dr. Choladhis

Asst.Prof.Dr. CHOLADHIS SINRACHTANANT
License No. 5863

Get to know the Doctor
Picture of หมอโจ
Dr. Joe

TANACHAK SINRACHATANANT, M.D.
License No. 81257

Get to know the Doctor
TRP Hospital Medical Professor Team