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The asymmetry that this lady is concerned about could be due to several factors. Firstly, the asymmetry of the eyelids or absence of a well-defined crease may have already been present prior to the initial Asian Eyelid surgery, and thus, her original doctor may have measured a specific height from the eyelid margin in order to create a crease and make her eyes more symmetric. Dr. Prasad also emphasizes that the face is naturally asymmetric, and in terms of the eye sockets, there is often a difference in the amount of fat and soft tissue present around both eyes. In Dr. Prasad’s practice, he treats patients who are unhappy with the results of their Asian Eyelid surgery or have had too much fat removed by adding more volume to the area into the sub-brow region (the area under the brow). Dr. Prasad has performed this by adding either fat or filler, as opposed to doing a subtractive procedure wherein something is taken away, and has had much success in restoring symmetry. When it comes to achieving more almond-shaped eyes, a different procedure is required for this. Dr. Prasad recommends a canthoplasty or a canthopexy, which involves lifting the outer corner of the eye and tightening the lower eyelid respectively. For more information about Asian double eyelid surgery, please visit our website at: http://prasadcosmeticsurgery.com/pras... For more information about almond eye surgery, please visit: http://prasadcosmeticsurgery.com/pras... For more information regarding Dr. Prasad’s background and training, please visit: http://prasadcosmeticsurgery.com/dr-a...