I am interested in fixing my asymmetrical eyes. One of my brows sits noticeably lower and that same eye looks much smaller than the other eye/eyebrow. Is this a problem that can be fixed to create a more balanced, symmetrical set of eyes for myself? I am a young woman in her twenties, not an older person so I am not sure what type of surgery would be best, but I plan on consulting soon. Thank you!
Can Asymmetric Eyes or Eyebrows Be Fixed?
Doctor Answers 52
Asymmetry of brows and eyes
Some asymmetries can be fixed, others cannot.
Often, one globe (eyeball) is more deeply set than another. That means that it sits more deeply in the bone of the eye (orbital socket). This in turn causes many other asymmetries. The deeper eye will have more laxity (looseness) of the overlying skin, causing the upper eyelids to appear different.
There is often on the same side as the deeper set eye a flattening of the cheekbone, again causing the eye area to look different. There may be an orbital dystopia, where the eye bones are actually at different levels.
Brows can be at diffferent levels, or have different strengths of muscles functioning to cause the brow to appear different. The whole anatomy of every bone and muscle in the face comes into play.
Differences in the set of a globe cannot, for practical purposes, be corrected. However, a plastic surgeon who carefully analyzes the asymmetries of the face can come up with a plan that minimizes the asymmetries.
Nobody is completely symmetrical. A skilled and artistic plastic surgeon can point out the asymmetries and come up with a plan to minimize them. He or she can also point out which asymmetries cannot be fixed. You should feel comfortable after your consultation that your asymmetries were pointed out, recognized, and a plan included how to reduce the fixable asymmetries as much as possible.
Overall, asymmetries can often be minimized, but never completely removed.
Correcting Eyebrow Asymmetry
Brow lift can correct a static eyebrow asymmetry: if the difference in height or shape of the brow is present when the brow is relaxed.
Oftentimes, asymmetry is dynamic: a result of a difference in the tone of the forehead muscles. Brow lift will not correct dynamic asymmetries.
This can be determined with careful examination.
Dynamic asymmetries can often be improved with BOTOX.
Correcting asymmetric eyebrows with browlift procedure
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Oculoplastic techniques could address this issue
Asymmetry of the brow and eyelids could be fixed by a variety of surgical techniques, depending on the specific asymmetry. A plastic surgeon with oculoplastic training should be able to address these issues.
The brow asymmetry could be addressed by unilateral brow lift. The eyelid asymmetry is fixed depends on the specific issues.
The key issue here is to communicate your requests and expectations to your surgeon to ensure that you will be satisfied of the final result.
Can Asymmetrical Eyes or Eyebrows Be Fixed
Correcting brow assymetry
Most techniques for brow elevations (open forehead lift, endoscopic brow lift, transpalpebral brow lifts etc.) will improve brow asymmetries. However, if the asymmetry is due to a discrepancy in the orbital opening in the skull, the correction achieved will be short lived.
Brow asymmetry can be corrected
Yes, your asymmetry can usually be corrected with a browlift. Probably, an endoscopic approach will work, but your surgeon can give you the best advice.
Careful assessment needed
There may be several reasons for your stated problem each with a different answer. If the problem is with a low set eyebrow, then the best solution is a DIRECT browlift, This involves making an incision in the skin above the affected eyebrow just at the area where the hair meets the skin and lifting the eyebrow to match the other side. The advantage here is that the surgeon has maximum control in leveling the eyebrows, the disadvantage is that there will be a small surgical scar. Other browlift techniques exist that hide the scar, but you lose accuracy in where you set the brow. In some cases, the brow can be elevated with a combination of botox/dysport and fillers. There are other potential causes including a droopy eyelid, high opposite brow or a combination of all of the above. A careful examination by a facial plastic surgeon will be beneficial.
Mehdi Sina, MD
It can be fixed or improved depending on the cause of the asymmetry. Static asymmetries which are seen when the face is not moving can be fixed with a browlift with or without a blepharoplasty. If the asymmetry occurs with raising the eyebrow, also called dynamic asymmetry, then Botox is a better option as surgery will not address this issue well. Full exam is important in all of these cases.
Yes this is correctable. It really depends on the muscle strength and integrity. There are three muscles in play. The frontalis muscle lifts the brow, the corrugator and the orbicularis depress the brow.
You can try botox to position the brow but in my hands surgery is likely most the most successful option.
Hope this helps.
Best of luck,
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.