I asked previously about correcting eyebrow asymmetry. I absolutely do not want my hairline touched or altered in any way.
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Doctor Answers 9
This is very, very mild. I agree with others who said no surgery for this minor problem Yes, you could have Botox or fillers, that would be fine. But also you might consider accepting that this is something that probably no one else is seeing except you.
Right eyebrow is lower but both appear low
IMHO, from the photo both eyebrows are a bit low with the right lower than the left. I am not able to stand behind you, with you seated and raise your eyebrows to the ideal aesthetic position...which is what should be done so you have a clear idea of whether or not and if so, by how much, your eyebrows are indeed low. They do appear to be so, but without this maneuver, from a single photo, I can't be certain.
Now, just because one or both of your eyebrows are low...doesn't mean that you must, or should do anything about it unless it bothers you. The reason, for the proper aesthetic evaluation, is to make it clear what is or is not an issue.
You certainly can try Botox or Dysport as well as placement of fillers like Perlane to the upper orbital rim to raise one or both eyebrows. If both eyebrows are low and the youngest patient that I've treated for this was 25 years old, you could have a Brow Lift.
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Your problem is well within the normal variation of most people. However, if it really bothers you, I would agree with the other commenters that the best solution for you with your desires is Botox. I would start with it below the right brow, both medially and laterally, and, if you do not get enough elevation of that brow with that injection, then I would inject above the left.
You can use Botox to have the right brow lifted as well as filler about 2cm above the right brow to help this process.
You only have minor asymmetry and I would not recommend surgery. Your best bet is to have Botox injected above the high brow and below the lower brow to help improve symmetry. Additionally, an injection of Juvederm beneath the eyebrow can be helpful as well.
Leave it alone
The amount of asymmetry is almost imperceptible. My suggestion is to accept the fact that NO PERSON IS SYMMETRICAL - a little asymmetry adds to facial beauty and mysteriousness. Fiddling with that small amount of asymmetry will guarantee that you will be unhappy when the side that gets the Botox goes to high or too low. Save your money for real problems.
Your best bet is Botox injection under the brow on the right side to weaken the muscle that pulls the brow down (orbicularis muscle).
Asymmetry is the rule not the exception. Personally, I think surgery is overkill to correct your mild brow asymmetry. You can get a"'nonsurgical Brow lift" through the use of Botox. By selectively weakening the muscles which pull the brow down on the lower side, you will get a lift to the brow.
Find a Plastic surgeon who does his own Botox injection and who enjoys tackling such cases and you will have a nice result.
Dr. Peter Aldea
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