Brow asymmetry after browlift

Ricardo Rodriguez, MD answers: Brow asymmetry after brow lift

I am 45 and am 12 weeks post-op from a "bad" Botox outcome which caused ptosis in my left eyebrow. I am also 28 days post-op from an "open" Brow lift and lower Blepharoplasty.

The right side is fine, but the left side is not. I have malar swelling and the left brow is far lower than the right.

I was told that I didn't need to wait for the Botox to completely wear off before having surgery.

Is it possible to actually damage muscle that has been treated with Botox during surgery? Do you think this will get better?


Ricardo Rodriguez, MD
1 month ago

 Many patients notice asymmetry after surgery, because they naturally expect the surgeon to correct what they perceived as wrong.

The surgeon, on the other hand, must manage the patient's expectations for the following reasons:

Nobody can achieve symmetry, unless it be by pure luck. The body is asymmetrical. Nature is driven by asymmetry.

Most people's brow asymmetry has to do with the way they use their muscles of expression. The same relationship holds postoperatively. I have tried early in my career to correct asymmetry, only have the brows return to their preoperative positions a few months after surgery.

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