Can Asymmetric Eyes or Eyebrows Be Fixed?

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!

Doctor Answers 46

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.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 134 reviews

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.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.6 out of 5 stars 31 reviews

Correcting asymmetric eyebrows with browlift procedure

Asymmetric eyebrows can in fact be made to be more even, with some type of browlift procedure. The realistic goal is not to create perfect symmetry, but to help get closer to that goal and make a moderate improvement. This does not need to be a major procedure- many of the browlifts I perform are done under simple oral sedation, with a limited recovery time. It is important to note that, many times, asymmetric eyebrows can be associated with asymmetries of the eyelids as well, so this needs to be recognized pre-operatively so perhaps these asymmetries can be corrected or at least planned for.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 114 reviews

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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.

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Can Asymmetrical Eyes or Eyebrows Be Fixed

Yes, this asymmetry can exist. None of us have a symmetric face. However, we differ in the degree of asymmetry from subtle to obvious. The eyebrow is moved by two groups of muscles that raise and lower the brow.The cause of a low eye brow can be related to nerve damage to the muscle that elevates the brow, but this should be obvious. If you are able to elevate the low eyebrow then the muscle function should be fine. Sometimes the low eyebrow is normal while the one on the other side is too high. There are other factors that can affect an eye brow position and the size of an eye including droopy upper lid, skeleton shape of the orbit, which is the eye bone socket and the position of the eyeball inside the socket.

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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.

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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.

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Can Asymmetric Eyes or Eyebrows Be Fixed?

A common cause of eyebrow asymmetry is underlying eyelid asymmetry with one upper eyelid being more droopy than the other which causes compensatory elevation of the same side eyebrow. There are other causes as well. See following link and video. See an oculoplastic specialist for evaluation.

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Brow Lifts Can Make Eyes and Brows Look More Symmetrical

The short answer is that a brow lift can make your eyebrows look more symmetrical and will raise the skin on the “smaller” eye, bringing it more into balance with your other eye. However, it may be that the ocular bone is actually smaller on that side of your face, so that the eye will always appear smaller than the other one.

Mild brow malposition can be fixed with carefully placed Botox injections

Experienced Botox injectors can manipulate the brows nicely with Botox. By knowing the muscles that raise and lower different sections of the brow, the brow often can be "fine tuned". It is hard to answer this question without a photo, as you may have an anatomic abnormality such as one side of the face being smaller than the other. For more severe brow asymmetry, a brow pexy can be done surgically. I doubt you would need anything more aggressive than that.

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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.