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.