My right eyebrow is lower than my right my left eye has more eyelid skin. What can cause this & how can I get it fixed? (Photo)

Question

My right eyebrow is noticeably lower than the other & my right eye also has more eyelid skin. I'm very unhappy with the way my right eye/eyebrow looks. I can't even really wear makeup on my right eye. What kind of doctor would I go to to get this fixed? I'm terrified of having surgery, because I don't want them to mess up, but I really need to get it fixed for my self-esteem. My eye hasn't always been this way. I started noticing within the last 4-5 years. What would it cost to have it fixed?

Ross A. Clevens, MD, FACS · Answer

Dear bstyles,We surgeons understand that many patients are apprehensive about surgery and that is why we walk our patients through surgery each step of the way, from the initial point you meet our staff to the operating table that features friendly faces with whom you discussed your concerns and desires. A browlift can provide you with the results you desire so I suggest you consult a board certified facial plastic surgeon to receive the highest quality treatment, care, knowledge and skill available.

Mehryar (Ray) Taban, MD, FACS · Answer

It is likely that your have left upper eyelid ptosis (droopy upper eyelid) which causes the eyebrow to elevate in order to help lift the droopy eyelid. Best to see an oculoplastic specialist for evaluation.

Amy T. Bandy, DO, FACS · Answer

Before proceeding to get a browlift or botox as many of the posts have recommended, I would recommend seeing an experienced oculo-plastic surgeon so you can be thoroughly evaluated for eyelid ptosis.  If you have not always looked like this, it is likely that you have developed ptosis on the left eye and that you are compensating by elevating your left eyebrow. The correction for this is completely different than doing a browlift, so be sure to be evaluated for ptosis before making any decisions on proceeding with brow surgery.  Good luck!

Alejandro J. Quiroz, MD · Answer

Thank you 
for sharing your pictures and yes indeed you have and asymmetry in your
brow.  This can be corrected by a brow
lift surgery in which we can removed some of the skin from the ptotic side and
also decrease the volume of the supraciliaris muscle responsible for the depression
of the brow.

Mark L. Mazow, MD, FACS · Answer

Your right brow is certainly lower than the left, but I think that the left brow may be the abnormal one. Very frequently when there is such brow asymmetry the culprit is really a droopy lid  on the side with the higher brow that your brain is trying to correct by raising the brow as it senses the droop on the affected side. One photo is not enough to diagnose or treat your issue. Botox or surgery might be in order, but you really need to be examined by an Ophthalmic Plastic surgeon with experience is both functional and cometic lid  and brow disorders for a thorough exam to develop an accurate diagnosis and treatment plan for you..

William Portuese, MD · Answer

The photograph demonstrates asymmetrical eyebrows with the right eyebrow lower than the left. Botox may be able to offer some temporary solution to the asymmetry. For a permanent affect, raising the right eyebrow with a brow lift will most likely be necessary. This will probably fix the hooded extra skin on the right upper lid as well once the eyebrow is in the normal position. There are many parameters to look at performing a brow lift, such as raising the brows, addressing the asymmetries, raising or lowering the hairline, and softening the muscles in the forehead creating wrinkles.  For many examples and our current price list, please see link and video below

Richard W. Fleming, MD (retired) · Answer

You probably have the same amount of skin in both eyelids; the asymmetry is probably secondary to the low position of the right eyebrow. You can try Botox injections above the right eye but you will probably need a unilateral brow lift.

Mark Loury, MD, FACS (retired) · Answer

Thank you for your question. What your picture shows is right brow ptosis where it sits lower than normal. In women the ideal brow sits above the upper bony rim of the eye socket. It elevates laterally and peaks at the junction of the middle and lateral thirds with the outer third descending slightly. With ptosis the upper lid isn't pulled up so it looks like extra skin. Elevating the brow may solve both problems. Consult with a facial plastic surgeon who can discuss the various options. Best wishes

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