
Eye asymmetry can occur for many reasons. Understanding the causes is crucial. The next step will be to decide the most suitable surgical option. A surgical plan must account for the asymmetry of the eyelids. Eye asymmetry treatment includes the removal or reshaping eyelids.
Periocular Asymmetry
Periocular asymmetry is the result of changes in the volume, shape, and positioning of the facial tissues, especially in the orbit and around the eye. This is often caused by changes in the size and position of the eyelids, as well changes in the pupil size. This is often unilateral and can result from reduced tissue volume, such as congenital Hypoplasia, inflammatory lesion or neurologic dysfunction. Common ocular disease symptoms include strabismus, third eyelid protrusion, and eyelid asymmetry.
Assessing facial symmetry and the subjective impression it gives is the first step for assessing periocular dissymmetry during aesthetic or reconstructive procedures. This should take place within the first few moments after a patient is contacted. The eyes are the focal point of the face, so first impressions are particularly important. This is because the eyes define a person's personality. The initial impression may change as time passes and a person interacts with others.

Causes
There are many reasons eye asymmetry can occur. It can affect structures around the eyeball, such as the eyelids, brow bone, or eyebrow. Trauma and tumors may also lead to it. While most cases are benign, some may require medical attention, such as an infection or stroke.
In rare cases, the eye asymmetry could be a sign or symptom of a neurological disorder. It can also occur from strokes or other neurological disorders. A second cause is severe migraines. If you experience asymmetry in either eye, it is important to visit your physician immediately to rule out other conditions.
Treatments
Treatments for eye asymmetry vary according to the severity and type of asymmetry. Sometimes surgery is required to correct severe orbital abnormalities, such as injuries. Many cosmetic procedures are available for milder asymmetry. These treatments can improve vision or prevent future problems.
Trauma is most commonly responsible for orbital asymmetry. A wide variety of insults can cause isolated soft tissue injuries, but they're usually not immediately visible. Concussion-induced hypoemia can cause an orbital injury, which can lead to enophthalmos and hypoglobus. A stroke may also result in upper eyelid asymmetry, or enophthalmos.

Prevention
Eye asymmetry can be caused by many factors. However, it is not always easy to treat. These can range from lifestyle changes to medical treatments. The goal is to improve the overall appearance of the eyes. Although it is not a cure all, the results can be pleasing to the eyes and help improve self-esteem.
First, evaluate periocular harmony. Prior to any surgery, it is important that the patient be examined for periocular symmetry. This involves identifying the asymmetry and determining its cause. Next, you will need to choose the best corrections. While large disparities are easily appreciated during the preoperative evaluation, smaller inequalities may not be evident until after the surgery. In addition, soft tissue is often removed during surgery, which may reveal underlying asymmetries.