Botox for brow asymmetry? What is the best option for correction? (Photo)

We are all born with asymmetries. In your case, one brow is lower than
the other and your upper lids are also asymmetric. The best way to non-surgically raise the right brow is by relaxing the brow
depressor muscles on that side with Botox, Dysport, or Xeomin. I would not inject your forehead over the left brow because I feel as though the brow is actually compensating for a slight lid ptosis (drooping upper eyelid), and injecting in this area could exacerbate the ptosis. Keep in mind that chemically
raising the right brow with Botox will only result in a slight elevation (less
than 1 cm typically). So, if perfection is anticipated, you
will be keenly disappointed.  You should be evaluated for left eyelid ptosis and surgical options should be reviewed as well.  I would seek the consultation of a facial
plastic surgeon, plastic surgeon, or occuloplastic surgeon so that both surgical and
non-surgical options could be weighed.

Strategic placement of small units of neuromodulators like Botox, Dysport, or Xeomin can help make brows be more symmetrical. Using an Expert Injector can help without the need of a surgical procedure. 

An option is to have a small amount of Botox injected around the right eye to lift the right eyebrow. Consult an expert injector to have an accurate assessment. Best of Luck. 

You have ptosis of the left eyelid, and this drooping of the eyelid causes you to elevate the left brow in an attempt to elevate the lid. Definitive treatment requires ptosis repair to restore the normal eyelid function.  Once repaired the brow will no longer need to help the lid to elevate and the brow symmetry will be restored. Botox could be used to help elevate the other brow in an attempt to create symmetry, and this may work well. However the Ptosis will still exist, and the problem will only be masked. It is best to visit with a facial plastic, occuloplastic, or general plastic surgeon to help with your concern. 

You could use Botox to lift the lower brow. However, your photos suggest that you have a subtle eyelid ptosis or droop in the eye with the elevated brow. It is quite possible that the higher eyebrow is compensating for the eyelid droop on that side. Seek a consultation with an Oculoplastic Surgeon who can evaluate your eyes and lids and make more specific recommendations. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

The fact that your left eyebrow naturally sits in an elevated position can be corrected easily with Botox, but first I would like to make sure you know that everyone is slightly asymmetrical naturally! Please don't feel self-conscious about it. It's perfectly normal to have one brow sit higher and no need to treat it at all. If you really want to pursue it, it might be fixed for as little as a few dollars by putting a single injection over the elevated left brow in the proper spot to relax the muscle that always pulls upward at rest, and repeating that injection every few months. Other options may include injections below the browline on the right side (glabella and lateral canthus area) to elevate that brow a little bit so they rest more evenly. This is easy to do on a budget, so best of luck!

By injected small amounts of Botox above your left brow (higher brow) and injected a small amount right under the tail of the right brow (lower brow) will help even the asymmetry.  This does not require a large amount of product and should relatively inexpensive. 

Both botox and the other neuromodulators as well as fillers can be used to even out the brows by relaxing the brow depressor muscles and providing support for the brow.  Devices such as Ulthera can also be used and of course surgery (but that would be the last option).  ThermiTight, is also a device that can lift the brow by tightening the skin and in certain patients treating the temples with Sculptra is an excellent choice.  An injection specialist with experience in treatment around the eyes (seek out an oculo-facial plastic surgeon) can review the options and explain the pros and cons of each treatment.  Usually a combination treatment can give very natural and long lasting results.Best of luck!

Dear
jackieteetee:

Thanks
for sharing your photos! This is helpful.

It is
best for you to visit a Board Certified Plastic Surgeon or Facial ENT surgeon
to review the many reasons why facial asymmetry occurs.

We
are all born with skeletal or anatomic variations. When our bones are not
perfectly aligned or mirror images of the other side, like a perfect dress on a
bent hanger, folds and creases occur differently on the left and right. Add to
this, the skin and soft tissue aging process and expression and one side of our
face (in particular) is different than the other.

In
the very limited photos you have provided, I notice several areas of very mild
and natural asymmetry. These include the nose, while appearing beautiful, rises
to the narrower and deeper left face. The right face appears wider. While
normal, this may alter the brows position.

Also,
you have a slight ptosis of the left upper eyelid. Your brain reflexes may
compensate for this by raising your brows in order to drag the eyelid upward.
These are mechanisms which an ophthalmologist may evaluate and if required, may
offer surgical and non-surgical solutions.

Botox
may also help when performed by a skilled and artful injector to raise the left
outer eyebrow more than that of the right, and reduce mid-forehead wrinkling.
Fillers under the brow may also help in filling and elevating the brow.

I
hope this has been helpful! I wish you the best!

Is it brow asymmetry or mild ptosis of your left side that makes your frontal is on the left side be overactive. Best of luck.