My right eyebrow has a higher arch compared to my left which sits much lower. My left eyelid seems to have more skin over my eye which gives it a drooping effect. This has escalated in the last year and a half. I never noticed any issue with my face. I have gained about 30 lbs since high school going from 125 to 155. (I am 5'8)I am a 21 year old female. Is there anything I can do that doesn't require surgery? I don't have a lot of money.
I have an issue with my eyebrows being uneven? (photo)
Doctor Answers 6
Asymmetrical brows and eyelids are quite common
Uneven brow height is quite common and can be temporarily addressed with Botox, Dysport or Xeomin, which are FDA approved neurotoxins lasting about 4 months. Often the problem is due to overactive muscle tone on one side when you are awake, but resolves when you are asleep and the muscles are relaxed. It is also possible that there is an eyelid problem called ptosis, but it is uncommon in younger patients. I would recommend a consultation with a Facial Plastic or Occuloplastic surgeon.
Brow asymmetry in a young person is usually secondary to unequal pull of the elevator muscles. Treatment for this is injection of a neuromodulator eg. Dysport, Botox or Xeomen into the forehead on the side where the brow is elevated. This will lower that brow.
Eyelid ptosis (droopy) causing arched brow on same side
You need to get oculoplastic evaluation. You likely have right upper eyelid ptosis (droopy) which causes your right eyebrow to compensate by lifting to elevate your eyelid. If that is the case, no brow surgery is necessary (and if fact wrong). That would require right upper eyelid ptosis surgery instead. See an oculoplastic surgeon.
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You have a significant asymmetry of your brow heights.
You should try to even them out initially with some botox. With botox you can either lower the right, higher brow, or you can elevate the lower brow. With this amount of vertical difference, you may need to do both to get them close to the same level. If you like the way this looks, you can consider having a surgical lift of the lower brow.
You first if all need a live evaluation to be sure the problem is the static position if your brows and you do not have an eyelid problem. Botox therapy , as has been discussed, would be a good way to treat your situaion before considering a unilateral brow lift.
Perfect Candidate for Botox Brow Leveling
Botox, or Botox-like injections (like Dysport and Xeomin) would be able to help tremendously. You can either lower the right brow by relaxing the forehead muscle slightly with the injection and/or raise your left eyebrow slightly by placing the injections in the muscle around your eyes that normally pull the brow down. This will relax those muscle and allow the eyebrow to "float" a little higher.
This would require only a little Botox (or Dysport or Xeomin), so shouldn't cost very much.
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