Our facial features are not perfectly symmetric. Although it may sound counterintuitive, full symmetry will not make us look more beautiful, but rather ordinary. This has been proven through scientific research. Subtle asymmetries in the shape of our eyes or a mild difference in the contour of our eyebrows are part of our identity; more than that, they make us who we are. If you doubt this, just take some time to examine the faces of the most beautiful supermodels and movie stars.
On the other hand, people who seek a cosmetic eyelid surgeon to improve the shape of their eyes expect a reasonable level of symmetry in their surgical outcome. Therefore, the surgeon’s threshold for postoperative asymmetries should also be low. Having said this, we must remember that surgery is not a perfect science. There are numerous factors that will determine the result of an operation such as age, health status of the patient and the peculiarities of the healing process. So, we have come to expect a certain level of postoperative asymmetry in plastic surgery. When it is mild, the patient may not notice or care, as long as the overall result of the operation is good. But when the asymmetry is very evident, a touch up will be required.
Eyelid plastic surgeons prefer to wait at least 3 months before considering revisional surgery. The reason is that asymmetries may improve spontaneously during this time. After 3 months, a touch up can be done taking special care to choose the right procedure and surgical technique. During revisional surgery, the surgeon may also want to improve the appearance of a scar. In any case, the surgeon and the patient must be on the same page regarding the objectives of another operation and what it can accomplish.