23 y/o female - what are my options to correct asymmetry and reshape the eyebrows? (photos)

Question

23, F. I have been very insecure about my eyebrows for quite a while as one is higher and a different shape than the other. I have a pretty good idea of what I want my eyebrows to look like (see second photo. Here, I am lifting the tail quite a bit and the inner corner so it is over the brow ridge). What are my options to achieve this brow shape while lifting and making them more symmetrical? (Also do not want forehead size increased). In short, how can I have them both reshaped and lifted?

Dominick Gadaleta, MD · Answer

Hello lunastellax,
This is a good question that I get an asked a lot in my clinic. Brow asymmetry is actually more common than most people appreciate and can be a result of many different factors, including skeletal asymmetry, asymmetric muscle dynamics, soft tissue deficiencies, etc.
Every brow asymmetry is different and requires a different approach. The most simple, most affordable and least risky procedure would be to try targeted asymmetric neuromodulator (AKA botox). You can use botox to lift a brow or drop a brow. A good injector can try to match the side you like best. In fact, this is how we treat certain types of facial paralysis. Looking at the photos you sent, I can see that you have asymmetric muscle contraction on one side of your face. This makes you a GREAT candidate for this procedure.
If the brow is asymmetric due to volume loss on one side, filler can be used to add volume where needed and support the brow in a more elevated position.
After non-surgical treatments are considered, I usually have a discussion with my patients about brow lift surgery. There are several different approaches to brow lifting surgery, each has their pros and cons. In my practice, the approach is customized to each individual based on their goals and exam. 
A direct brow lift is classically the best approach to best match symmetry of the brows, however, it’s downside is that the incision is hidden right above the brow and if it doesn’t heal perfectly, it can leave a visible scar.
Endoscopic and hairline lowering (trichophytic) brow lifts are more commonly used for bilateral droopy eyebrows, but can be customize to try and elevate one side more than the other.
There are several other options, but they would not apply to this situation.
It is important to see a specialist who listens to you and feels comfortable performing all the different techniques, so that they can select the best procedure to fix your problem.
I hope this helps!
Cheers,Dr G

Nima Shemirani, MD · Answer

Hi @lunastellax. Thank you for sharing your photos. I recommend an in-person consultation with a facial plastic surgeon.

Best of luck,

Dr. Nima

Selcuk Inanli, MD · Answer

Hello ! Thank you for your question l recommend you (eye brow lift) I think it is the best method to lift eyebrows and also permanent eyebrow lift makes it attractive not only on the eyebrows but also on the face with surgery.
Thank you ! regards

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your questions and posting your photos. Precise placement of Botox and PDO Threads can help give you the appearance you desire. See an experienced oculoplastic surgeon for detailed evaluation and discussion of treatment options.
Good luck!

Jason Emer, MD · Answer

To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling. I suggest getting a formal consultation with a facial sculpting expert. Best, Dr. Emer

23 y/o female - what are my options to correct asymmetry and reshape the eyebrows? (photos)

Answers (8)

Answer: How to adjust the eyebrows on a 23 year old

Answer: How to adjust the eyebrows on a 23 year old

Answer: Droopy Brows -- Eyebrow Lift with Injectable Fillers / Cannulas for Reduced Pain/Swelling / See an Expert

Answer: Droopy Brows -- Eyebrow Lift with Injectable Fillers / Cannulas for Reduced Pain/Swelling / See an Expert

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

23 y/o female - what are my options to correct asymmetry and reshape the eyebrows? (photos)

Answers (8)

Answer: How to adjust the eyebrows on a 23 year old

Answer: How to adjust the eyebrows on a 23 year old

Answer: Droopy Brows -- Eyebrow Lift with Injectable Fillers / Cannulas for Reduced Pain/Swelling / See an Expert

Answer: Droopy Brows -- Eyebrow Lift with Injectable Fillers / Cannulas for Reduced Pain/Swelling / See an Expert

Browse related questions

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.