Options To Treat Asymmetric Uneven Eyebrows and Sometimes Eyelid? (photo)

Hi, I am wondering what options I have for my uneven eyebrows. My left eyebrow is a lot higher than my right eyebrow, and when I'm tired my right eyebrow tends to droop even more. The reason why it bothers me is because it completely changes my facial expressions. I have tried stimulating the muscles, massages, make-up etc but its not helping. Thank u in advance!

Doctor Answers 11

Options to treat asymmetrical eyebrows

 Options to treat asymmetrical eyebrows include Botox to paralyze a hyperdynamic side were the eyebrows are raised too much. Fillers will have no use in this area. Its best to try Botox before considering any unilateral  surgical brow lift at this point


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

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#Uneven #eyebrows can be treated with #browlift or #botox

Thank you for your photos.  It does appear that you have some assymmetry.  One onon-invasive option would be to perform botox injection around your eye to the lower side.  this would allow the muscle of your forehead to pull unopposed and rise higher.  Another, more permanent option, would be to perform a one-sided browlift on the lower side.  Best to consult with a board-certified plastic surgeon.

Assymetrical brow lift

The best option is to treat the lower brow with Botox at it's connection to the glabella and at it's lateral crow's foot region releiving the pull down affect from those muscles.  This will "float" the lower brow closer to symmetry with the higher one.  It will significantly help but you will still likely be slightly asymmetric.  Asymmetric surgical treatments typically wouldn't get the job done so in a young woman like yourself I would remain conservative and go with just Botox for now until you are comfortable with the results.

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
4.5 out of 5 stars 20 reviews

Toronto Brow Lift

A formal examination would be needed to determine the best option but based on your pictures, I think Botox would likely be a good option. It is important that you see a board certified plastic surgeon in your area for a formal consultation and examination to ensure that this is the right treatment for you.

Best,

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 30 reviews

Treatment of Asymmetric Brows

I would use Botox (or Dysport or Xeomin - all similar neuromodulators) on your left side to relax the brow and lower it some. This one-sided treatment alone also has the effect of stimulating your right side forehead muscles to contract in a compensatory manner resulting in a rise of the lower brow at the same time -- so this single, inexpensive treatment may be enough to give you acceptable symmetry. It is certainly worth trying before any surgical measures are taken.

If you still want more correction, you can do a one-sided brow lift, using pretty much any of different brow lifting surgeries. The most reliable, predictable, cosmetic, effective and long-lasting surgical brow lift technique is a long-incision lift with excision of redundant scalp/skin.

Keep in mind that asymmetry of the level of the two brows is normal to a point. I agree that your present asymmetry is a little beyond the normal range, but the resulting difference following Botox-like injections only would probably be enough to bring you within normal limits of asymmetry.

Thanks for your question. I hope you are getting helpful responses.

Richard Parfitt, MD
Madison Facial Plastic Surgeon
4.5 out of 5 stars 21 reviews

Brow asymmetry is most commonly caused by muscles of expression

There are several causes for Brow asymmetry:

1- Bony asymmetry- uncommon

2-Nerve damage- Bell's palsy, trauma, etc

3-Compensation for unilateral eyelid ptosis- also uncommon

4-Muscles of expression acting differently- very common

In your case it appears to be a matter of the muscles of expression. Try Botox, it will be relatively inexpensive and will serve as a guide. In my experience most of my patients have some degree of asymmetry of the brows, which persists after surgery.

Ricardo L. Rodriguez, MD
Baltimore Plastic Surgeon
4.5 out of 5 stars 47 reviews

Unilateral Browlift in Combination with Botox is a Great Option for Asymmetric Eyebrows

There are multiple anatomic abnormalities that can result in facial asymmetry. These may include deformities of the orbital bones, eyelid soft tissue and eyebrows. In most cases, they are relatively minor, but in some cases they may be severe and extremely noticeable. Depending upon the deformity, treatment may or may not be possible.
Although, it’s hard to tell exactly what’s going on from your pictures, I suspect you have boney orbital asymmetry. It appears that on the side of your lowered brow, you also have a depressed orbital rim and flattened cheekbone.
Asymmetry of the facial bones can be a major contributor to facial asymmetry. When this occurs it’s not unusual to have one side of the face that has a depressed orbital rim, flattened cheekbone, and an eye that appears smaller than the opposite side. This is often related to a condition called Plagiocephaly.
When this situation arises, it’s possible in some cases to disguise the asymmetry. Unfortunately, it’s not possible to correct this deformity without major surgery. In this case a unilateral brow lift in combination with Botox on the opposite side are both possible options. If you’re considering treatment, it’s important that you meet with a board certified plastic surgeon who can help you with this decision.

Brow asymmetry

Ideally you should be examined to find out the cause.

There are a few possibilities for your level of asymmetry:

  1. You have eyelid ptosis on the right side and your brow is compensating for that
  2. You have poor elevation of your left brow, possible due to a malfunctioning nerve
  3. You have significant skeletal (bony) asymmetry of your face

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 153 reviews

Asymmetric brow may be functional or anatomic

The frontalis muscle is innervated on both sides (dual innervation) so it can raise the eyebrows asymmetrically. An individual might engage the muscle in this way subconsciously.  A trial of botox on the high side will solve the problem.  If the eyebrows are anatomically positioned at a different height, the problem is more difficult.  Even with surgery, it's not always possible to get exact symmetry.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

Makng your brows even

You are subconsciously raising your right brow.  Whether it is because of facial asymmetry or not would need to be looked at, but a great quick fix would be to put a few units of botox to lower the brow on the right side which could in essence train your brain to stop holding th eright brow up eventually.

Robert Schwarcz, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.