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Can You Have Eyelid Surgery on One Side? Which Method Should You Choose?

Le Quang Minh
Le Quang Minh
Asked: 13/02/2026

Hello doctor, I have mild ptosis on one eyelid while the other side is normal, so I am wondering whether it is possible to have eyelid surgery on only one side or if both sides must be done for symmetry. If I only have surgery on one eyelid, will the result look natural and balanced with the other side? I would also like to ask whether, in my case, eyelid surgery or non-incisional eyelid crease creation would be more appropriate.

Hello, the doctor understands that many people experience one clearly defined eyelid crease and one hidden or partial crease, causing facial imbalance and lack of harmony. Therefore, questions such as “is one-sided eyelid surgery possible?” or “is one-sided eyelid surgery safe?” are completely understandable. The doctor will provide detailed explanations so you can clearly understand before making a decision.

Is One-Sided Eyelid Surgery Possible?

The doctor confirms that you can absolutely undergo eyelid surgery on one side if there is asymmetry between the two eyelids in terms of crease height, excess skin, or fat distribution. However, performing surgery on only one eyelid requires a highly skilled surgeon with absolute precision, because even a deviation of a few millimeters may result in uneven eyelids or an unnatural crease.

Can You Have Eyelid Surgery on One Side? Which Method Should You Choose?
One-sided eyelid surgery is possible but should only be performed by a highly skilled and experienced surgeon

From a professional perspective, one-sidedeyelid surgery is a minor surgical procedure to refine the eyelid crease, removing excess skin and fat from one eyelid to adjust the height and curvature so that it is proportionate to the opposite side. The surgeon’s goal is not only to create a new crease but also to restore overall symmetry between both eyes, ensuring natural and harmonious results.

However, not everyone is suitable for surgery on only one eyelid. In many cases, after examination, the surgeon may determine that both eyelids show signs of aging or levator muscle asymmetry, in which case intervention on both sides is necessary to ensure balance and long-term effectiveness.

At Gangwhoo Cosmetic Hospital, the exclusive Plasma scalpel microsurgical endoscopic eyelid technique allows surgeons to operate with absolute precision, minimizing invasiveness and ensuring near-perfect bilateral eyelid symmetry with a significantly faster recovery compared to conventional technologies.

Causes of Eyelid Asymmetry Between Both Eyes

There are many causes of uneven or asymmetrical eyelids, most commonly including:

Can You Have Eyelid Surgery on One Side? Which Method Should You Choose?
Congenital one-sided eyelid asymmetry from childhood
  • Congenital factors: Some individuals are born with uneven levator muscle structure, causing one eyelid crease to be more defined than the other.

  • Aging process: With increasing age, eyelid skin becomes lax and excess fat accumulates unevenly, leading to asymmetric ptosis.

  • Lifestyle habits: Sleeping on one side, frequent eye rubbing, or uneven eye opening over time can weaken the levator muscles asymmetrically.

  • Post-cosmetic surgery: Previous eyelid surgery performed with improper technique, or overly deep/shallow incision on one side, may result in uneven creases and imbalance.

Correctly identifying the cause enables the surgeon to choose the appropriate one-sided eyelid surgery method, ensuring both aesthetic results and long-term stability.

Effective and Safe Methods for One-Sided Eyelid Surgery

Currently, various techniques are applied in one-sided eyelid surgery, depending on each patient’s skin, muscle, and fat condition. Surgeons at Gangwhoo Cosmetic Hospital commonly recommend the following methods:

  • Exclusive Plasma scalpel microsurgical endoscopic eyelid surgery:

Can You Have Eyelid Surgery on One Side? Which Method Should You Choose?
Plasma scalpel microsurgical endoscopic eyelid surgery restores balanced and harmonious eyes

This is the most advanced technology available today, using a high-energy Plasma scalpel to dissect tissue with extreme precision, causing almost no bleeding or bruising. As a result, eyelid height can be adjusted to the millimeter, ensuring naturally symmetrical results.

  • Mini eyelid surgery or Baby Eyes technique:

Suitable for mild asymmetry cases that only require crease refinement without significant skin or fat removal. Advantages include quick recovery and invisible scarring, especially ideal for younger individuals.

  • Reconstructive eyelid surgery:

Can You Have Eyelid Surgery on One Side? Which Method Should You Choose?
Reconstructive eyelid surgery creates a more harmonious and even new crease

Indicated for cases of previous failed eyelid surgery, asymmetry, or uneven creases. This method helps reconstruct a more harmonious new crease and comprehensively correct asymmetry.

Regardless of the chosen method, the most important factor remains the surgeon’s expertise and aesthetic judgment. When performing one-sided eyelid surgery, precise measurements, accurate design, and controlled incision depth are decisive factors for the final outcome.

Doctor’s advice:

If you are still uncertain about whether to proceed with one-sided eyelid surgery, it is best to visit Gangwhoo Cosmetic Hospital directly for examination and eyelid crease design using a specialized 3D facial proportion analysis system.
Here, a team of aesthetic ophthalmic surgeons trained in Korea will provide a personalized treatment plan for eyelid asymmetry correction, ensuring safety, aesthetics, and long-term results.

With the exclusive Plasma scalpel microsurgical endoscopic eyelid technology, Gangwhoo is committed to delivering eyes that are natural – symmetrical – scar-free – no swelling or pain, helping you feel more confident with bright and captivating eyes.

If you still have concerns about one-sided eyelid surgery or would like a direct evaluation of your current eyelid asymmetry, contact Gangwhoo Cosmetic Hospital now for a free consultation and examination with our specialists!


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