Brow Lift Q&A
70%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
51 Reviews
Brow Liftbefore & after photos
View Before and Afters

Average Brow Lift Cost: $7,504

Learn about Brow Lift

257 people and 422 doctors are talking about Brow Lift

Get Free Email Updates

Brow Asymmetry After Brow Lift

asked 3 years ago by Fran in Orlando in Orlando, Florida
Latest answer by Alejandro J. Quiroz, M.D.
Question viewed 1,237 times
Tags: eyebrows, asymmetry

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?

7 answers to Brow Asymmetry After Brow Lift

+2

Tincture of time...

You do not mention if you have weakness or paralysis of the brow muscle from Botox or the surgery. In any case, you should wait a significant amount of time before assessing your situation. This could be months since muscle or nerve weakness from surgical trauma might take that long to recovery. As far as doing surgery while Botox is still in effect, it is too late to change that but generally speaking it is better to wait since you don't know what the normal anatomy of the brow is with... more
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Brow lift

 It is possible to have the asymmetry still as a result of the botox.  The other possibility is that a nerve coul have being damage during surgery.  I suggest to wait  until the effect of the Botox wears off.  If the asymmetry is very  upsetting for you you can consider Botox very limited in the opposite side to balance your face
Alejandro J. Quiroz, M.D.

Mexico Plastic Surgeon
+1

Brow lift asymmetry

At this point with asymmetry, you have many variable involved here. Botox is one.  You should wait a few months for it to wear off to see how this impacts your brow position.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Botox and Browlifts

It sounds like you have had a lot of interventions performed on your forhead in a short period of time. Before any real asseeement of the outcome can be made, I would suggest a long waiting period. Botox can have an effect on the outcome. Even a browlift can look assymetrical and end up symmetrical, this is because sometimes the trauma of a browlift can partially traumatize the nerves that go to the bow muscles. Be patient!
Robert M. Freund, MD

New York Plastic Surgeon
+1

Brow asymmetry after browlift and Botox

 At this point, the best thing to do is to wait several months until all Botox has worn off and you have totally healed from the surgery.  Only then can you properly assess where you are with respect to brow symmetry.  Probably some of these issues will resolve if you can be patient.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Brow asymmetry after browlift

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... more
Ricardo Rodriguez, MD

Baltimore Plastic Surgeon
+1

Brow Asymmetry

If the asymmetry is do to your botox injections, it may still improve. Although I tell my patients that botox lasts about 3 months, I have seen it last months longer in some patients. You are only 1 month after the browlift operation. If the asymmetry is due to temorary, transient weakness following surgery, it could take several months to resolve. Unfortunately, at this time you will have to be patient.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

Ask a question