What are my options to correct asymmetrical eyelids and brows? (photo)

Question

I've noticed a difference in my brows and eyelid size. The brow which is higher has a larger eye lid space and the lower brow has a smaller eye lid space. How can they be fixed?

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Alan Gonzalez, MD, FACS · Answer

Hello @Thrifty842182, thank you for your question. This can be treated with botox  injections. The goal of the injection is to relax the muscles to achieve simmetry. Correct application is key, the characteristics of the facial expression are directly related to the application technique.  For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.   Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Zoran Potparic, MD · Answer

There are two wayst to correct eyebrow asymmetry. One is by placing resorbable plate through upper eyelid incision into brow area to hold eyebrow in desired position until wound heals; plate resorbes within 3-6 months. Similar is approach from hairline/scalp with two incisions hidden in the scalp and fixation with similar resorbable plate. However, you may also have mild ptosis on one side which needs to evaluated since that can be the only cause of this asymmetry? Hope this helps.

Mark L. Mazow, MD, FACS · Answer

Thank you for your question and photos. The high brow is actually your brain  compensation for ptosis (a droopy lid ) on that side. You can see that that side as a higher lid crease which is a telltale sign of ptosis. A simple in office test can demonstrate this. Ptosis responds very well to surgery.You need to see an ASOPRS affiliated Oculoplastic surgeon for an in office exam and consultation. Best of luck.

What are my options to correct asymmetrical eyelids and brows? (photo)

Answers (4)

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