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Can Asymmetric Eyes or Eyebrows Be Fixed?

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!

Asked 37 months ago by Soniaaa
Sort 20 expert answers by:
+6

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... more
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+2

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.
Joseph N. Togba, MD
Oakland Plastic Surgeon
+2

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.
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+2

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.
Randy J. Buckspan, MD
Austin Plastic Surgeon
+2

Correcting asymmetric eyebrows with browlift procedure

Asymmetric eyebrows can in fact be made to be more even, with some type of browlift procedure. The realistic goal is not to create perfect symmetry, but to help get closer to that goal and make a moderate improvement. This does not need to be a major procedure- many of the browlifts I perform are done under simple oral sedation, with a limited recovery time. It is important to note that, many times, asymmetric eyebrows can be associated with asymmetries of the eyelids as well, so this... more
Jeffrey S. Epstein, MD
Miami Facial Plastic Surgeon
+2

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.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

Brow Assymetry Can be Fixed

We often use muscles on one side of the face more than the other side. This can result in one brow being lower or higher. This can be fixed often with a combination of a minimally-invasive Modified Browlift and Upper blepharoplasty. Some people actually have a smaller eye or orbit (eye socket) on one side and this will limit the success of the correction.
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+1

Brow asymmetry

A browlift can sometimes correct asymmetry but sometimes it can not. If the asymmetry is due to uneven muscle tone then surgery will not correct the problem. Botox can sometimes be used to equalize the situation when that is the case. A proper evaluation by an experience facial surgeon should be able to determine your situation.
Adam D. Stein, MD
Raleigh-Durham Facial Plastic Surgeon
+1

Browlifts can improve your eyes asymmetry, but you may need work in your eyelid as well.

Browlifts can improve your eyes asymmetry, but you may need work in your eyelid as well. Sometimes, the unequal appearance of your eyes could either be from the brows being asymmetric or it could be from your eyelids being asymmetric.  Sometimes your eyes can be smaller due to the eyelid being uneven.  A condition called ptosis can occur when the muscle that opens up the eye is affected by some process.  This could make one eye smaller than the other. The correction of... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+1

Addressing brow asymmetry

A small bit of brow asymmetry usually is not noticed, but significant differences in eyebrow position are usually the result of subconscious" involuntary" elevation of one of the eyebrows without the patient being aware of it. I see this often in my practice, and usually patients with illustrate this to me when I have them look at themselves in a mirror.  Immediately they will raise their eyebrows, often in different positions.  I can even out the eyebrows by... more
Daniel Shapiro, MD
Scottsdale Plastic Surgeon
+1

Asymmetry in eyebrow and eyelid position

Many patients are concerned about asymmetry when it is not apparent to anyone else.   In fact, the natural occurring asymmetry in people is what makes many faces attractive, unique, and interesting.  However, when significant and obvious distraction is present, we can help.  Plastic surgeons are trained to analyze, evaluate, and correct these conditions, but also know that minor differences in our left and right sides are a natural occurence in the... more
Randy Wong, MD
Honolulu Plastic Surgeon
+1

Asymmetry of the eyes and brows

Some degree of asymmetry of the brows and eyes is normal, but if very noticeable it may be amenable to correction with surgery. There are a number of techniques available and an in person consultation with a plastic surgeon should give you the opportunity to discuss which may be best for you.
Olivia Hutchinson, MD
New York Plastic Surgeon
+1

Uneven Brows Easily Corrected With Endoscopic Brow Lift

An endoscopic brow lift, even for someone in their twenties, is a reasonable procedure to create more symmetry of the brow. Though some asymmetry is natural, an obvious difference can be improved with surgery.
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+1

Correcting asymmetrical brows

Yes, it is possible to correct asymmetrical eyebrows.  Make sure your surgeon is not fixated on one method only, as the techniques to use depend on correctly diagnosing what's causing your asymmetry.  Some of the variables to consider are different tone of frontalis muscle, the bony ridge or orbit asymmetry, also  asymmetry of upper eyelid  can be confused with eyebrow asymmetry, etc.  Some of the techniques your surgeon should consider are, open vs... more
Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
+1

Coapt endotine is ideal

The best way to correct such a problem is with the Coapt endotine device. This device allows precise adjustments of eyebrow height from side to side. It is easy to use and leaves almost imperceptible scarring within the scalp.
Robert M. Freund, MD
New York Plastic Surgeon
+1

Many options to fix a symmetric eyebrows

A brow lift is an excellent technique to fix an even eyebrow position. Remember that the eyebrows are controlled by the underlying musculature and that a small change in this muscle can create a dramatic result. For this reason, it is essential that you work with a board-certified plastic surgeon who has a great deal of experience in brow lifting techniques. Today, there are many techniques and possible incision locations to help correct your concern. They will be able to determine the... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Brow Asymmetry

Some brow asymmetry as well as eye asymmetry is normal. A brow lift can sometimes correct minor asymmetries but remember there will always be some asymmetry.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Brow asymmetry

Brow asymmetry is quite common...when you critically look at yourself in the mirror, you will notice a slight difference...that's normal. Sometimes, that difference is more pronounced and becomes easily noticeable. That's when people seek a plastic surgeon for evaluation. People may complain that the one brow is higher...others may complain of extra eyelid skin on the side with the lower brow. How do we fix it? There are several techniques available, but my preferred method is the... more
Rafi S. Bidros, MD
Houston Plastic Surgeon
+1

Eye and eyebrow asymmetry

This depends greatly on your individual circumstance. Some asymmetries can be repaired, and some can’t. And most people have some facial asymmetry anyway to a degree. A surgeon who is skilled can assess any asymmetries you may have and help you come up with a surgical plan to minimize them as best as possible. A skilled surgeon will also be able to highlight those asymmetries that can’t be improved upon, and let you know up front so that you don’t go in with unrealistic... more
Scott W. Mosser, MD
San Francisco Plastic Surgeon
+1

Brow Assymmetry

Depending upon the type of asymmetry a brow lift can fix or improve it. This can be done with an open approach or an endoscopic one depending upon the extent of the difference and your surgeons personal expertise. I have found that on rare occasions a unilateral or one sided brow lift wil help, but this was more with a Bell's palsy or paralysis type procedure. Occasionally, Botox can improve asymmetry very nicely but this is only temporary. Your evaluation by a plastic surgeon, facial... more
Steven Schuster, MD
Boca Raton Plastic Surgeon
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