Asymmetry After Endoscopic Forehead Lift

Asymmetry after a browlift (of any type) may be treatable. Key to determining if and how it can be treated would be examining the degree of asymmetry (in mm), the nature of the asymmetry (is it dynamic or static--that is, is it constant or does it vary?), and your facial features (wrinkles in the forehead and hairline position). The fix may be relatively simple (such as Botox) or a minor procedure (done under local anesthetic). Hopefully, your surgeon can help guide you through this process.

  It is always difficult to answer these kind of questions without seeing photos.  But I do agree that often an overcorrected brow can be brought down to improve symmetry without undergoing all of the trauma and swelling of the original procedure.  good luck!

Unfortunately, at 5 years after a browlift, the asymmetry present is permanent.  However, several factors must be considered including the fact that most patients have some degree of brow asymmetry before a browlift which may or may not be corrected with the procedure.  Failure of the fixation device and/or inadequate brow release on one side are other possibilities at the time of the procedure.  Nonsurgical options for lowering the "higher" side include Botox.  If you are considering revision surgery, greater control is likely to be achieved with an open or Trichophytic procedure in which the lower side could be raised preferentially.  My general recommendation to patients who have had an issue or failure with the endoscopic procedure is to consider a Trichophytic lift (incision along the hairline, following the natural progression and recession of hair follicles).

There are many causes of asymmetry of a browlift:


Pre-existing asymmetry of brow unrecognized

Asymmetric lifting of brow

Asymmetric removal or weakening of muscles


 

Fixing an asymmetric brow can be done with either botox or possibly a revision procedure.

When a browlift is overdone, it can be reversed but only with another operation. Furthermore, the description of the aperture of the eyes would presumably be related to something other than browlift such as eyelid surgery. You might want to try botox on the side of the forehead that is too hight to see if paralyzing the frontalis muscle on that side is the cause. It would help deciding what operative approach to take.