How can I correct my extremely uneven eyebrows? (photos)

Question

For as long as I can remember, and confirmed by looking at childhood pictures, I have had uneven eyebrows. One is much higher than the other. I understand that eyebrows are sisters, not twins, but my brows aren't even friends. My question is which cosmetic procedure would you recommend to correct my uneven eyebrows? I've been looking into Botox injections for the lower brow to raise it to match the high brow but I am open to suggestions! Thank you!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  I agree with you that some subtle enhancement with Botox can be performed to help narrow the asymmetry in your brow position and this will depend on your desired appearance.  You can place a small amount of Botox into your lower brown to help elevate it or place some just above the higher brow to help lower it.  Occasionally both methods can be done.  You do have some mild ptosis of the left upper eyelid but this would require surgery to correct.  Be sure to see a board certified plastic surgeon in consultation.  Based on an in-person examination they can offer the best treatment recommendations.

Kian Karimi, MD, FACS · Answer

Great question! Botox is an excellent treatment option to subtly lift the brow. In your case, it is certainly reasonable to have a small amount injected above the right brow to have it appear more even with the left brow. An experienced injector will be familiar with facial anatomy and place the Botox in the appropriate location to achieve this outcome. I recommend consulting with a board-certified specialist who can further discuss the risks, benefits, and side effects of Botox injections.

Mark E. Freeman, MD · Answer

Thanks for your question. The photos you included are quite helpful. I do see the asymmetry you mention, and I believe it's subtle enough to be effectively corrected with a strategic application of BOTOX. However, bear in mind that the results are temporary and typically last for a few months. You can certainly return to your injector for repeat treatments, or you may wish to see what kind of improvement is possible and then switch to something more permanent. In any case, it's important to remember that the human face is almost never perfectly symmetrical. See a board-certified plastic surgeon to learn more about your short- and long-term options.

Donald B. Yoo, MD, FACS · Answer

Botox could improve the asymmetry of your brows in one of 2 ways:  slightly lowering the right brow, or slightly raising the left brow.  Treating the orbicularis muscle on the left will have the added effect of making your left eye appear slightly larger while raising your left brow. Consultation with an experienced injector would be best to determine the potential satisfaction from the treatment.

Adriana K. Holy, MD · Answer

Thanks for your question regarding eyebrow
asymmetry. The type of brow asymmetry demonstrated in the photos is usually
correctible by an experienced Botox physician. Because you are young in the
photos I see, I doubt you would have problems that this might be a compensatory
asymmetry which, on correction, would result in ptosis. This is most commonly
seen in older individuals.

I have excellent results with injecting a higher dose in the
depressors in the weaker side, and a lesser dose in the higher side, with a
tiny whisper in the forehead on the higher side.  Make sure your
practitioner does a careful muscular evaluation, because proper dosing depends
on exactly how the muscles move.

I hope this helps!
 Good luck!

Andrew Campbell, MD · Answer

I'm not sure Botox is your best answer. Not everyone gets elevation of their brow with Botox and, if they do, it's usually not much. It's certainly worth a try though. Ultherapy would be another option that is non-surgical. We would double the treatment on the low brow in the hope of elevating it enough that the asymmetry is less obvious. A last option would be a surgical browlift. These can be performed endoscopically so the incisions are hidden in the hair and downtime is minimal.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

Jason Emer, MD · Answer

Botox can be injected into several places around the brow for improvement. This is a great non-surgical treatment, and should be provided by an expert. Best, Dr. Emer

Julia Ann Sullivan Miller, MD · Answer

Botox is an effective option to treat your asymmetric eye brows.  There are two things you should be aware of.  First of all, Botox is not permanent, nor is it an exact science.  Second, if your raised brow is in fact caused by a compensatory mechanism to raise a droopy eyelid, your eyelid my lower once the Botox effectively lowers the brow.  You should have a consultation with an oculoplastic surgeon who will thoroughly evaluate you to determine the best correcting procedure.

Mehryar (Ray) Taban, MD, FACS · Answer

You have left upper eyelid ptosis (droopy upper eyelid) which causes the same side eyebrow to elevate in order to assist lift the droopy eyelid. The solution is actually left upper lid ptosis surgery. See link and video below. See an oculoplastic surgeon for evaluation.

Sheryl D. Clark, MD, FAAD · Answer

Dear RealSelfKim:   I have been able to correct uneven brows with Botox and, for more long-lasting results, Ultherapy.  Rest assured that you should be able to correct this issue.  All the best, Dr. Clark

How can I correct my extremely uneven eyebrows? (photos)

Answers (20)