Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do? (photo)

My doctor is board certified.

Doctor Answers 14


How much time has passed since your treatment?  I fit is less than a week then you should wait to see if there is a change in the other side.  Your injector can then judge better what to do in order to balance your brow position better.


I would see your surgeon. This is an easy fix with a few more units of botox. 

Everyone has different muscle asymmetries so it can be unpredictable. Does not mean anyone did anything wrong. I would take note of it and the units you got so if you want to do it again you will know your specific needs as far as units and locations.

Hope this helps.

Best of luck,


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do?

Thank you for your question.

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Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 90 reviews

Brow asymmetry

Its a little hard to tell from your picture how much difference there is.  However, I would wait at least 2 weeks then have your injector look at it as in may require a little extra Botox to balance it.  Usually an easy fix.  It may resolve on its own in that time.   Hope this helps

Dr. ODell

B. Edward O`Dell, MD
Florence Physician
5.0 out of 5 stars 4 reviews

Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do?

Hello, and thanks for your question and photo. This could likely be fixed with placement of additional product. I suggest following up with your physician. Best of luck, Dr. Frucht.   

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Got Botox for the first time, one eyebrow is higher than the other. I am unsure what is best to do?

Hello Jan79,

Botox takes time to work.  It reaches its maximum effect in about 7-10 days.  If it hasn't been that long, then I would continue to monitor your result.  If it has been more than 2 weeks, then your option is to add more Botox to drop the higher eyebrow.  

I'd recommend you always receive your treatment from a core aesthetic physician injector such as a facial plastic surgeon.

I hope this helps and good luck. 

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Eyebrow asymmetry after Botox

In most cases, this is easily fixed with additional Botox. Keep in mind that often we start off asymmetric. This requires some forehead Botox to keep the higher one from lifting as much or raising the lowered one by placement around the brow.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

Brow asymmetry after Botox

As you are well aware, this is not an uncommon occurrence especially with inexperienced providers. The picture you have posted is not a good clinical picture for a proper evaluation. Recommend seeking treatment by an experienced board certified dermatologist, facial plastic or general plastic surgeon to minimize such maloccurances.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon
4.4 out of 5 stars 20 reviews

Brow Asymmetry After Botox

Thank you for your question and for sharing your photograph.  Sorry that you are having some concerns about your postprocedure appearance.  Some asymmetry can occur while the Botox is taking effect.  I would suggest that you allow 2 weeks after Botox treatment to see your final result.  At that point, if you continue to have any concerns, please be sure to see your doctor for an in-person reevaluation to fully address your concerns and to determine the best course of action.  Any brow asymmetry can often be corrected with just a few units of Botox.  Hope this helps and best wishes!

Christian N. Ford, MD
Cohasset Physician
5.0 out of 5 stars 30 reviews

Asymmetry following Botox

Thank you for sharing your question. Your problem is correctable with additional Botox. See your doctor for follow up evaluation. Good luck.

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 140 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.