When the two under-eyes heal unevenly.
Differences in lower-eyelid shape, volume, or support between left and right are assessed by cause. The plan may involve one side, both sides, or no surgery depending on the diagnosis.
What this addresses
- Visible difference in lid-margin height after primary surgery
- Asymmetric eye-opening size
- Uneven crease position or depth
- Volume mismatch between the left and right under-eye
Asymmetry revision is conservative by nature: we adjust the side and structure that actually need it, never both. The plan is built from the specific cause on each side, with mock-up photos and millimeter-level targets.
The Process
Photo Analysis
Standardized photographs in five angles, measured in millimeters. Animation studied for dynamic asymmetry.
Single-Side Plan
Identify the precise side and structure to adjust. Conservative is the rule.
Surgery
Correction method is selected after in-person diagnosis of the side, structure, and cause of asymmetry.
Verification
Compare to baseline at week 6 and month 3.

“Under-eye correction begins by identifying the cause: fat, groove, support, pigmentation, prior procedure change, or a mixed pattern.”
Frequently asked
No face is perfectly symmetric. We aim for symmetry within natural human variation — the honest goal is improvement, not perfection, and we say so up front.
Almost never. Operating on the side that is already correct only multiplies risk — a revision should touch the cause, not the healthy side.
Considering revision? Start with an easy consultation.
You do not need to decide on surgery first. Send photos and prior procedure history, and ST will help you begin comfortably.