I am interested in fixing my asymmetrical eyes. One of my brows sits noticeably lower and that same eye looks much smaller than the other eye/eyebrow. Is this a problem that can be fixed to create a more balanced, symmetrical set of eyes for myself? I am a young woman in her twenties, not an older person so I am not sure what type of surgery would be best, but I plan on consulting soon. Thank you!
Can Asymmetric Eyes or Eyebrows Be Fixed?
Doctor Answers 38
Asymmetry of brows and eyes
Some asymmetries can be fixed, others cannot.
Often, one globe (eyeball) is more deeply set than another. That means that it sits more deeply in the bone of the eye (orbital socket). This in turn causes many other asymmetries. The deeper eye will have more laxity (looseness) of the overlying skin, causing the upper eyelids to appear different.
There is often on the same side as the deeper set eye a flattening of the cheekbone, again causing the eye area to look different. There may be an orbital dystopia, where the eye bones are actually at different levels.
Brows can be at diffferent levels, or have different strengths of muscles functioning to cause the brow to appear different. The whole anatomy of every bone and muscle in the face comes into play.
Differences in the set of a globe cannot, for practical purposes, be corrected. However, a plastic surgeon who carefully analyzes the asymmetries of the face can come up with a plan that minimizes the asymmetries.
Nobody is completely symmetrical. A skilled and artistic plastic surgeon can point out the asymmetries and come up with a plan to minimize them. He or she can also point out which asymmetries cannot be fixed. You should feel comfortable after your consultation that your asymmetries were pointed out, recognized, and a plan included how to reduce the fixable asymmetries as much as possible.
Overall, asymmetries can often be minimized, but never completely removed.
Can Asymmetrical Eyes or Eyebrows Be Fixed
Correcting asymmetric eyebrows with browlift procedure
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Correcting brow assymetry
Most techniques for brow elevations (open forehead lift, endoscopic brow lift, transpalpebral brow lifts etc.) will improve brow asymmetries. However, if the asymmetry is due to a discrepancy in the orbital opening in the skull, the correction achieved will be short lived.
Correcting Eyebrow Asymmetry
Brow lift can correct a static eyebrow asymmetry: if the difference in height or shape of the brow is present when the brow is relaxed.
Oftentimes, asymmetry is dynamic: a result of a difference in the tone of the forehead muscles. Brow lift will not correct dynamic asymmetries.
This can be determined with careful examination.
Dynamic asymmetries can often be improved with BOTOX.
Brow asymmetry can be corrected
Yes, your asymmetry can usually be corrected with a browlift. Probably, an endoscopic approach will work, but your surgeon can give you the best advice.
Oculoplastic techniques could address this issue
Asymmetry of the brow and eyelids could be fixed by a variety of surgical techniques, depending on the specific asymmetry. A plastic surgeon with oculoplastic training should be able to address these issues.
The brow asymmetry could be addressed by unilateral brow lift. The eyelid asymmetry is fixed depends on the specific issues.
The key issue here is to communicate your requests and expectations to your surgeon to ensure that you will be satisfied of the final result.
Any of these can cause asymmetry. When one brow sits noticeably lower than the other, it causes crowding of the upper eyelid skin over the eyelid. Correction often requires addressing both components.
There are at least eight different ways to do brow lifts. These range from endoscopic "minimal incision" brow lifts, to full incisions either in the hair posterior to the anterior hairline,or to an incision at the hairline centrally with extension posteriorly into the hair laterally. When people have deep forehead creases and thin hair, mid-forehead lifts can be performed which is in the crease with excellent results.
These can be done using local or general anesthesia within an hour.
John Standefer MD
Correcting Eyebrow Asymmetry
It is important to understand, however, that nobody has a completely symmetric face. Subtle skeletal asymmetries are difficult or impractical to correct but can often be minimized with soft tissue surgical techniques.
Visible skeletal and soft tissue asymmetries of the face should be readily identifiable by your plastic surgeon and treatment options thoroughly discussed.
I recommend that you seek consultation with a board certified plastic surgeon that has extensive experience in peri-orbital surgery and aesthetics. Good luck!
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.