Can botox help with eyebrow asymmetry? (Photo)

Question

26, struggling with eyebrow asymmetry in the right side, can botox fix this? Also, for my nose would closed rhinoplasty fix this or would it be open? Or if I fix the eyebrows I wont need to fix the nose. Please help I want to feminize my face more.

Anil R. Shah, MD · Answer

Botox can help correct mild to moderate eyebrow asymmetry, especially if one brow sits higher or lower due to muscle activity.

How it works: Botox relaxes specific muscles that pull one brow down or up. A skilled injector can target small areas (for example, the frontalis or orbicularis oculi) to lift or even out the brows.

Good for: Asymmetry caused by muscle tone differences, not bone structure or skin laxity.

Duration: Results last ~3–4 months, and adjustments can be fine-tuned with follow-up visits.

Tip: See a provider experienced in facial feminization or aesthetic balance, not just generic Botox injections.

If your right brow is higher/lower, an injector can evaluate whether that’s from muscle dominance or from underlying bone/soft tissue differences.

Nick Slenkovich, MD · Answer

Hi! I’m Lauren, the aesthetic provider here at Colorado Plastic Surgery Center. Yes, Botox can absolutely help improve eyebrow asymmetry. It can do by relaxing specific muscles that pull one brow higher or lower than the other. A skilled injector can use small, precise doses to balance muscle activity and create a more symmetrical look. However, it’s important to remember that results are temporary (lasting about 3–4 months) and depend on the cause of the asymmetry.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo — I can understand your concerns, and they’re actually quite common.

Yes, Botox can often help improve eyebrow asymmetry, especially if one brow sits lower or has less lift due to muscle activity differences. A small, targeted injection can relax the stronger side and create a more balanced, lifted appearance. The results are typically visible within 1–2 weeks and last about 3–4 months, so it’s a great, minimally invasive starting point before considering surgical options.

As for your nose, the need for rhinoplasty really depends on your aesthetic goals and the degree of asymmetry or contour concern.

A closed rhinoplasty (done through internal incisions) is usually preferred for subtle refinements or straightening, since it leaves no visible scar.

An open rhinoplasty provides better visualization for more complex adjustments or when feminization involves tip reshaping or narrowing.

That said, it’s best to address the brows first — since improving symmetry and softening expression with Botox can significantly harmonize your facial proportions. Many patients find that after adjusting the brows, their nose looks more balanced naturally, and surgery might not be necessary.

If your main goal is facial feminization, a personalized approach combining Botox, fillers for contouring, and possibly non-surgical rhinoplasty can often achieve a softer, more symmetrical look without downtime.

Camille Cash, MD · Answer

Botox can help with brow asymmetry.  The treatment is done in the office with final results seen after two weeks.  The product effects will gradually fade over about three to four months.  Be sure to see an experienced injector for treatment.

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