Asymmetry After Endoscopic Forehead Lift

asked 3 years ago by Mary11 in NY, NY
Latest answer by Lawrence Kass, MD
Question viewed 987 times
Tags: forehead, asymmetry

I had an endoscopic forehead lift about 5 years ago. It was done by a highly experienced and reputable plastic surgeon. Immediately after surgery, I noticed asymmetry. The doctor advised patience and told me it would settle in with time. I was also not eager for more surgical procedures and figured in time I would get used to it.

It has been five years and it is bothering me more now than before. One eyebrow is noticeably higher than the other and it affects the shape of the eye. One eye is round, the other is oval. I would rather not go through life looking deformed. Can anything be done about this. I like the lower brow side much better. Can the brow on the other side be lowered? What are my options? Do I have any options? Thank you.

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11 answers to Asymmetry After Endoscopic Forehead Lift

Asymmetry after endoscopic browlift

Asymmetry after a browlift (of any type) may be treatable. Key to determining if and how it can be treated would be examining the degree of asymmetry (in mm), the nature of the asymmetry (is it dynamic or static--that is, is it constant or does it vary?), and your facial features (wrinkles in the forehead and hairline position). The fix may be relatively simple (such as Botox) or a minor procedure (done under local anesthetic). Hopefully, your surgeon can help guide you through this... more

Sam Most, MD
Bay Area Facial Plastic Surgeon

Asymmetry after forehead lift

It is always difficult to answer these kind of questions without seeing photos. But I do agree that often an overcorrected brow can be brought down to improve symmetry without undergoing all of the trauma and swelling of the original procedure. good luck!

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

Correcting asymmetric brows

Since your browlift was performed endoscopically, there is the option of lowering the side that you feel is too high. This is usually fairly straight forward and is not as invasive as the original procedure. Botox may be of some use but the effects would be temporary. I would advise making an appointment with the original surgeon to get his input.

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon

Asymetry 5 Years After a Browlift

Unfortunately, at 5 years after a browlift, the asymmetry present is permanent. However, several factors must be considered including the fact that most patients have some degree of brow asymmetry before a browlift which may or may not be corrected with the procedure. Failure of the fixation device and/or inadequate brow release on one side are other possibilities at the time of the procedure. Nonsurgical options for lowering the "higher" side include Botox. ... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Brow asymmetry after brow lift

I don't know if there is much you can do about the oval vs round eye as it may be unrelated to the brow lift. Botox can raise or lower an eyebrow a little bit. It is hard to lower an eyebrow surgically but raising an eyebrow can be done. Since you had this problem right after surgery, it may be worthwhile to ask your original surgeon about a revision.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Asymmetry After A Browlift

There are many causes of asymmetry of a browlift: Pre-existing asymmetry of brow unrecognized Asymmetric lifting of brow Asymmetric removal or weakening of muscles Fixing an asymmetric brow can be done with either botox or possibly a revision procedure.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon

Fixing asymmetry after an endoscopic forehead lift

After an endoscopic forehead lift, there is a risk of asymmetry. If this has there are many different options to correct this. If it is a small amount of asymmetry is possible to practice with any direct temporal brow lift on the lower side. This will help elevate this brow and create asymmetric appearance. This may be performed under either local anesthesia or as an outpatient procedure.

B. Pat Pazmino, MD
Miami Plastic Surgeon

An overdone forehead lift can be reversed.

When a browlift is overdone, it can be reversed but only with another operation. Furthermore, the description of the aperture of the eyes would presumably be related to something other than browlift such as eyelid surgery. You might want to try botox on the side of the forehead that is too hight to see if paralyzing the frontalis muscle on that side is the cause. It would help deciding what operative approach to take.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Brow can be lowered, eyelid shape can be changed

For a permanent option, it is possible (though not easy) to surgically lower your higher brow. For a temporary fix, botox injection into the forehead above the higher brow will give you about 3 months of correction. Regarding the eye shape, most people prefer the oval or almond shape and it should be possible to achieve reasonable symmetry. My suggestion is go to someone who specializes in eyelid surgery such as an oculoplastic surgeon. You can find one near you at www.asoprs.org or email... more

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

Brow asymmetry is treatable

Mary11, You have options. Botox is a great option to help adjust brow height a little bit, to produce a more symmetric eyebrow. It is better at lowering a brow, than elevating. Results with Botox may vary. Revision endoscopic facial surgery is the next option. Brow asymmetry may be treated by another endoscopic approach, or alternatively a traditional open approach. Most surgeons perform endoscopic brow lifts currently, but brow position is better controlled with an open or direct approach... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Give Botox a try.

If you think having the higher side lowered would look good, give Botox a try. There aren't too many good permanent options that will lower the eyebrow otherwise. Raising the lower side is however an option. Good luck!