Achieving symmetry in blepharoplasty surgery

Facial asymmetry is seen in almost everyone, especially around the eyelids. For example, one brow may be slightly elevated more than the other side or one eyelid may have more "excess skin" than the other side.  Aging is an evolving process that often accentuates the asymmetries we see in people. I often see people who wish to have upper lid blepharoplasty to remove the excess skin which may be overhanging onto their lashes.The excess skin results in not only a tired appearance, but also can result in difficulty seeing well in their far peripheral vision.  For example, this particular patient below has "excess skin" weighing down on his rigth upper lid resulting in difficulty seeing and lid asymmetry.  The goal was to perform an upper lid blepharoplasty surgery to help achieve better symmetry between the two lids and to allow the patient to see better

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You can see the improvment in symmetry once the right upper lid underwent skin-only blepharoplasty.