Which procedure can help me achieve more relaxed eyebrows? (photos)

Question

Female, 22 years old, not sure if this is the result of not sleeping on my back or if there’s a way to relax the right eyelid. All corrections I see are lifting eyelids which I guess I want the opposite

Kenneth D. Steinsapir, MD · Answer

The brow you have identified corresponds to your dominate eye. What is going on is that you have mild upper eyelid ptosis. Often the brow on the dominant side is driven to be higher than the nondominate side. Interestingly in the photo of you outside, the left brow is higher than the right. In studying your photos, your upper eyelids are heavy and the brain compensates by raising the brows. One side is often more compensated more than the other. The eventual solution is a very thoughtful upper blepharoplasty that corrects the upper eyelid ptosis. Finding the right surgeon for that can be very challenging. What about the idea of using Botox to help you. Sadly most Botox injectors really don't know what they are doing. They typically do just one type of service that frequently freezes the forehead. When that happens, your upper eyelids will really be heavy and you are going to hate the frozen forehead. II predict you will not like the treatment so it is difficult recommending this option. There is no substitute for a detailed in person assessment. Best.

Caner Kacmaz, MD · Answer

Hi! this is Arzu from Dr. Caner Kacmaz clinic. With botox as we can tense a muscle we can also relax the muscle that causes you the difference. İf you contact with us we will be more than happy to help you.
Kind Regards

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there. I see what you're referring to. You may have a hyperactive brow on that side. Have you tried Botox? That would be something to consider. This can cause some relaxation of the frontalis muscle and help to level the brows a bit. Hope this helps.

Mats Hagstrom, MD (license on probation) · Answer

Facial asymmetry is normal and everybody has it. Most people will have one eyeball or eye socket that’s higher than the other side.
Brow position, and the upper eyelid are interrelated.
Asymmetry is normal and generally not a good indication to have surgery.
It would be important to understand if someone gets Botox when making an assessment regarding brow position.
Botox can also be useful for manipulating brow position and paralyzing the frontalis muscle can potentially drop the brow slightly but this would be best done on both sides.
I see no obvious need for surgical intervention. Assessment for facial aesthetics concerning facial asymmetry brow position and upper eyelids can be a bit complex.
Consider having a few in person, consultations with senior plastic surgeons in your community to get a better assessment regarding fascial aesthetics, and potential treatment options.
Often asymmetry is better left alone. Everyone has it and most facial asymmetry is based on bone structure. Attempt at treating facial asymmetry with soft tissue manipulation, sometimes simply just creates two asymmetries.
There should be a clear indication for surgery before having permanent irreversible fascial Aesthetic procedurs.
Best,
Mats Hagstrom, MD

Which procedure can help me achieve more relaxed eyebrows? (photos)

Answers (4)

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