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Asymmetrical Eyes

Written by an Expert Aesthetic Content Writer Lisa.
Reviewed by Expert Medical Director Dr. Raj Thethi
Published on: June 6, 2025
Uneven Eyes

Asymmetrical Eyes

Have you ever noticed that one of your eyes looks a little different from the other? Maybe one is slightly higher, smaller, or shaped differently. This is called asymmetrical eyes, and it’s actually more common than you might think.

In most cases, small differences are harmless and don’t need any treatment. But sometimes, the uneven look can be more noticeable or caused by an underlying issue. It can also affect how someone feels about their appearance.

Read on to learn everything you need to know about asymmetrical eyes, from causes to treatments.

What Are Asymmetrical Eyes?

The terms “asymmetrical eyes” or “uneven eyes” are used when someone’s eyes don’t look exactly the same. One eye might be a different shape or size. It could sit higher or lower than the other. Sometimes, one eye looks more open, or it may be pushed back further into the eye socket.

If your eyes look very different from each other, it might be a sign of an underlying issue. It could be due to a medical or eye-related condition. That’s why it’s important to get your eyes checked by a doctor to know if any treatment is needed.

Why are My Eyes Uneven? – Common Causes

Eye asymmetry can be caused by multiple factors, including heredity, ageing, medical problems, and physical damage.

1. Genetics: Many people are born with slight facial asymmetries, including uneven eyes. These inherited traits are typically harmless and part of natural human variation.

2. Ageing: As we age, skin loses elasticity, and muscles weaken. This can lead to drooping eyelids or eyebrows, making one eye appear different from the other.

3. Medical Conditions

  • Horner Syndrome: A rare condition affecting nerves to the eye and face, leading to drooping eyelids and constricted pupils, leading to asymmetrical eyes.
  • Graves’ Disease: An autoimmune disorder leading to bulging eyes (exophthalmos), often causing asymmetry.
  • Bell’s Palsy: A temporary facial paralysis that can cause one side of the face, including the eye, to droop and cause asymmetry.
  • Ptosis: A condition where the upper eyelid droops over the eye, potentially affecting one or both eyes.

4. Injuries and Trauma: Accidents or injuries can damage the bones around the eyes, leading to asymmetry. For example, orbital fractures can cause one eye to appear sunken.

5. Congenital Syndromes: Certain genetic disorders, like Treacher Collins syndrome and Saethre-Chotzen syndrome, can result in facial and ocular asymmetries.

6. Enophthalmos: A sunken eye caused by trauma or sinus issues can make one eye look smaller, leading to visible asymmetry.

7. Stroke: A stroke can cause sudden facial drooping, often affecting one eye and one side of the face, leading to sharp asymmetry.

How to Fix Uneven Eyes? 

If you’re wondering how to fix asymmetrical eyes, several non-surgical and surgical treatments are available to improve balance and restore facial harmony.

Non-Surgical Treatments

1. Botox Injections

Botox can relax specific muscles around the eyes, helping to lift drooping eyelids or eyebrows, thereby improving symmetry. Results are temporary, lasting 3-6 months.

2. Dermal Fillers

Fillers can add volume to areas around the eyes, addressing hollowness or unevenness. This treatment is non-invasive with minimal downtime.

3. Thread Lifts

A thread lift uses dissolvable sutures to lift and tighten the skin around the eyes, offering a subtle improvement in symmetry. Results can last up to 3 years.

Surgical Treatments

1. Blepharoplasty (Eyelid Surgery)

Blepharoplasty (Upper eyelid surgery and Lower eyelid surgery) can remove excess skin, fat, or muscle from the eyelids, correcting droopiness and improving symmetry. It’s often performed on the upper, lower, or both eyelids.

2. Ptosis Surgery

Ptosis repair involves tightening the muscles responsible for lifting the eyelid, effectively correcting drooping. This surgery is tailored based on the severity of the condition.

3. Brow Lift

A brow lift raises the eyebrows, which can alleviate eyelid drooping and enhance eye symmetry. It’s especially beneficial when asymmetry is due to brow position.

4. Orbital Surgery

Surgery of the eye socket may be done to fix fractures, remove tumours, or relieve pressure in cases like Graves’ disease. It helps restore eye position and improve symmetry.

How to Fix Eye Asymmetry with Home Remedies?

If the asymmetry is subtle and not caused by a serious medical condition, a few simple home practices may help improve the appearance or prevent it from worsening:

1. Facial Exercises

Gentle facial yoga or targeted exercises can help tone the muscles around your eyes and brows. While results are gradual, some people notice improved balance with regular practice.

2. Cold Compress

If swelling or puffiness is causing temporary asymmetry, applying a cold compress can reduce inflammation and make the eyes appear more even.

3. Proper Sleep and Hydration

Lack of sleep and dehydration can lead to puffiness or drooping on one side. Aim for 7-8 hours of sleep and stay well-hydrated to support overall facial symmetry.

4. Skincare Routine

Using eye creams with caffeine or peptides may help reduce dark circles and puffiness, subtly enhancing symmetry over time.

5. Makeup Techniques

Skilful makeup can create the illusion of symmetry. Use eyeliner, eyeshadow, and brow shaping to balance uneven features, like lifting a lower lid or evening out eyebrow height.

Final Thoughts

Having slightly uneven eyes is very common. For most people, it’s nothing to worry about. But if the asymmetry is sudden, severe, or bothers you, it’s okay to explore your options. There are medical and cosmetic procedures that can help. From Botox and fillers to surgery, there’s something for every need and comfort level.

Simple home tips like cold compresses, better sleep, and makeup tricks can also make a difference, especially for mild cases. If you’re unsure about what’s causing your uneven eyes, talk to a medical professional.

Frequently Asked Questions

1. Why are my eyes uneven?

Eye asymmetry can happen for different reasons, such as genetics, injuries & certain health issues. While it’s usually not a big deal, you might want to see a doctor if you notice any sudden changes.

2. Can I make my eyes look more even?

One option is a brow lift. In this surgery, a doctor makes cuts in your forehead and pulls the skin up toward your hairline. This can help fix both beauty concerns and some medical issues.

3. Is there a natural way to fix crossed eyes?

While you might not be able to fully correct crossed eyes naturally, exercises can help improve the way your eyes work together. These methods focus on strengthening the eye muscles, which may reduce misalignment.

4. Can uneven eyes become normal again?

Having asymmetrical eyes is very common. Surgery and other treatments can help, depending on the situation. You might notice that one eye looks different, especially when you smile or feel tired.

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About Dr. Raj Thethi - Medical Reviewer

Dr. Raj Thethi

Yorkshire Skin Centre in Leeds is a CQC-registered medical clinic. It is led by Dr Raj Thethi who completed his core surgical training in hospitals around West Yorkshire before branching into aesthetics. Dr Raj Thethi is a Northern Territory Regional Expert for an international dermal filler company called Teoxane. He also sits on their National UK Faculty.

View all posts by Dr. Raj Thethi

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Blepharoplasty

Blepharoplasty, also known as an eye lift, is a surgical procedure performed on the eyelids to improve their appearance. It can address concerns like:

  • Excess skin on the upper eyelids: This can obstruct vision and create a hooded appearance.

  • Bags under the lower eyelids: These can make you look tired or aged.

  • Drooping lower eyelids: This can also obstruct vision and contribute to a tired appearance.


Types of Blepharoplasty:

  • Upper blepharoplasty: This addresses concerns with the upper eyelids, removing excess skin and sometimes fat or muscle tissue.

  • Lower blepharoplasty: This addresses concerns with the lower eyelids, removing excess fat or skin and sometimes repositioning tissues.

  • Asian blepharoplasty: This addresses specific concerns related to the anatomy of Asian eyelids, creating a more defined crease.