Facial asymmetry is a common condition and only becomes a problem if there is a significant difference between both sides. In the Asian community, the difference between the height and width of the palpebral fissures and the skin creases is usually the most apparent on photographs. There has not been any reports on the prevalence of such differences between the various racial groups in Malaysia. This study looks at the incidence of asymmetry of the palpebral fissue and upper eyelid crease in young Malaysians of Malay and Chinese origins of which form the biggest racial groups in Malaysia. Data obtained from such studies would be useful for reconstructive and aesthetic surgery as well as for counselling patients with dysmorphophobia.