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)
Doctor Answers 17
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.
Uneven Brows or lids?
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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.
Treatment of Asymmetric Brows
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.
Brow asymmetry is most commonly caused by muscles of expression
There are several causes for Brow asymmetry:
1- Bony asymmetry- uncommon
2-Nerve damage- Bell's palsy, trauma, etc
3-Compensation for unilateral eyelid ptosis- also uncommon
4-Muscles of expression acting differently- very common
In your case it appears to be a matter of the muscles of expression. Try Botox, it will be relatively inexpensive and will serve as a guide. In my experience most of my patients have some degree of asymmetry of the brows, which persists after surgery.
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