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I Have Uneven Eyebrows, Will Botox Fix This? (photo)

asked 4 months ago by SoulBeauty
Latest answer by Ronald Shelton, MD
Question viewed 358 times
Tags: eyebrows, options, uneven

I have uneven eyebrows, although when I smile, they even out. (Why is that??) I had to have stitches above my right eyebrow when I was younger and ever since, I have had nerve pain and numbness in that area. You can see the indent and scar tissue above/to the edge of my eyebrow. I'm wondering if this is why my eyebrows are uneven or is it my left eyebrow that is too low? What could I get done to fix this? Thankyou.

8 answers to I Have Uneven Eyebrows, Will Botox Fix This? (photo)

+3

Botox for Uneven Eyebrows

Yours is an interesting problem, and thanks for including the photos. I'll bet you get some different opinions from the experts on this forum, and there likely is not one single correct answer. Numbness and nerve pain indicates that you probably sustained an injury to the supraorbital sensory nerve on that side. You may also have some minor facial motor nerve damage,or the scarring may be releasing the downward pull of the orbicularis muscle on your right side, making the... more
James Bartels, MD

Manchester Facial Plastic Surgeon
+2

Uneven eyebrows

The reason your eyebrows look more even when you smile is the crows feet muscles are pulling your brows down. You are starting off with a right eyebrow that is higher, I do not believe it is due to any injury to the muscle of the forehead where the depression is as if it were, and then the brow would be lower, not higher. I do think than an evaluation by an ophthalmologist prior to any Botox would be a good idea to see if you have a weakness of the eyelid levator muscle itself that can cause... more
Julio Garcia, MD

Las Vegas Plastic Surgeon
+2

I Have Uneven Eyebrows, Will Botox Fix This? (photo)

You have uneven eyebrows, but you also have uneven eyelid heights. Your right eyebrow is higher then the left and your right upper eyelid is lower then your left. Probably what is happening is that your right eyebrow is elevating to try and open your right upper eyelid more. Botox can change the eyelbrow heights, but it might exacerbate the asymmetry between the upper eyelids. See an Oculoplastic surgeon to best determine what your options are.
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon
+2

I Have Uneven Eyebrows, Will Botox Fix This? (photo)

Thanks for the posted photos. Try Botox first on right supra orbital area. If happy than continue this every 6 months as needed. If not happy, look into surgical lifts either threading, Endotine, unilateral endo/open lift, direct eyebrow lift incision, etc. But BEST to see a few boarded PSs in person in your area. Follow up would be nice.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

You arch the right eyebrow to compensate for right upper eyelid ptosis.

Notice how the right upper eyelid is just a bit heavier than the left upper eyelid. The right upper eyelid margin hangs into the cornea about 1 mm more than the left upper eyelid sits on the left cornea. To compensate for this, the forehead muscle is working just a bit more on the right side than on the left. This most likely accounts for the difference in appearance. BOTOX might help balance this. However, I recommend being assessed by an oculoplastic surgeon... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+2

Even eyebrows and botox

Many people have uneven eyebrows heights. In your case the scar tissue above your right outer brow may be causing some tethering of the tissue between the brow and the scar. When you smile, your muscle that depresses the brow may be be brining the outer brow down. You can consider putting 3-4 units of botox just below the outer left brow. This will help elevate the left outer brow when you are not smiling. You can also consider adding a little in the same place on... more
Young R. Cho, MD, PhD

Houston Plastic Surgeon
+1

Uneven eyebrows and botox

My eyes were immediately drawn to your scar in your photograph. Upon enlarging the photograph it is apparent that there is a contraction of tissues creating soem contour irregularity. The contraction of the healed wound when you were younger has pulled up on the outer corner of the eyebrow. You have lost the normal mid eyebrow elevation of the arch and the scar pulling gives you a slight "stern" appearance by raising the corner of the eyebrow. You have... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

Botox for uneven eyebrows

While the injection of botox to the outer fibers of the orbicularis occuli muscle of the left side can result in elevation of the left eyebrow, the degree of elevation would be unpredictable and may not match the right side consistently. It would seem the right eyebrow is elevated to compensate for a mild ptosis. If you feel compelled to do something about this situation, a consultation with an occuloplastic surgeon would be good starting point.
Sanusi Umar, MD

Redondo Beach Dermatologic Surgeon

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