Hi, I am wondering what options I have for my uneven eyebrows. My left eyebrow is a lot higher than my right eyebrow, and when I'm tired my right eyebrow tends to droop even more. The reason why it bothers me is because it completely changes my facial expressions. I have tried stimulating the muscles, massages, make-up etc but its not helping. Thank u in advance!
Options To Treat Asymmetric Uneven Eyebrows and Sometimes Eyelid? (photo)
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Doctor Answers 18
We can lift the brow that is ptotic. That is not an issue at all.
Another thing to consider is a little bit of botox on that side to see if you can accomplish the results you are looking for with that.
We would paralyze the orbicularis and corrugator muscles in that area which the main depressors.
Important points that need to be delineated during a consultation are the degree of asymmetry and the muscle function. In my hands surgery is probably the most successful for this.
Hope this helps.
Best of luck,
Eyebrow asymmetry can be traced to a number of causes, from prior trauma (or surgery), neuromodulator injections, or underlying asymmetry in the craniofacial skeleton. All humans have some degree of asymmetry in our faces, but if has become bothersome to you, I would recommend and evaluation by an expert in facial analysis to take into account your complete facial structure. There are a number of treatments that may be beneficial for an asymmetric brow, from injections of dermal fillers or neuromodulators, such as Botox, to surgical procedures including ptosis repair, blepharoplasty, or a number of various browlifting procedures.
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Options to treat asymmetrical eyebrows include Botox to paralyze a hyperdynamic side were the eyebrows are raised too much. Fillers will have no use in this area. Its best to try Botox before considering any unilateral surgical brow lift at this point
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A formal examination would be needed to determine the best option but based on your pictures, I think Botox would likely be a good option. It is important that you see a board certified plastic surgeon in your area for a formal consultation and examination to ensure that this is the right treatment for you.
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I would use Botox (or Dysport or Xeomin - all similar neuromodulators) on your left side to relax the brow and lower it some. This one-sided treatment alone also has the effect of stimulating your right side forehead muscles to contract in a compensatory manner resulting in a rise of the lower brow at the same time -- so this single, inexpensive treatment may be enough to give you acceptable symmetry. It is certainly worth trying before any surgical measures are taken.
If you still want more correction, you can do a one-sided brow lift, using pretty much any of different brow lifting surgeries. The most reliable, predictable, cosmetic, effective and long-lasting surgical brow lift technique is a long-incision lift with excision of redundant scalp/skin.
Keep in mind that asymmetry of the level of the two brows is normal to a point. I agree that your present asymmetry is a little beyond the normal range, but the resulting difference following Botox-like injections only would probably be enough to bring you within normal limits of asymmetry.
Thanks for your question. I hope you are getting helpful responses.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.