Brow asymmetry - Can filler be used for this? Or maybe fat transfer? (Photo)

I have personally been injecting HA fillers for this purpose for many years. So, the simple answer is YES, fillers can be used for this purpose.
Regarding injecting fat, I stopped injecting fat many years ago. For one thing, fat transfer is expensive, requires TWO PROCEDURES, one to remove the fat from the donor site and a second to inject it into the recipient site--each require the use of large bore cannulas (since fat globules are thick), which means more bruising, swelling and post-treatment downtime. What's more, promises of permanent results are seldom achieved since the fat separated from its original donor site blood supply often does not survive. Moreover;, any fat that does survive retains the characteristics of the area from which it is taken. This means that if the fat is taken, for example, from the abdomen when the abdominal fat develops "midriff bulge" with aging, so, too, can the fat injected in the brow. Not a happy scenario. And finally, HA filler can be fairly easily dissolved should the need ever arise. The fat that is transplanted cannot be so easily removed.
You would be wise to consult with an experienced, board certified cosmetic dermatologist filler injector expert. Hope this helps and best of luck.
Hope this helps and best of luck.

Hi there,

That’s a great and very thoughtful question — and you’re absolutely right to notice that subtle volume differences can make brow asymmetry more apparent. In cases like yours, where one side lacks a bit of fullness, a small amount of filler can often help balance the brows beautifully. This can be done very precisely to even out the contour of the forehead or brow area.

Fat transfer is another option, but it’s a bit more invasive and typically reserved for patients seeking a more permanent solution or who are already undergoing another procedure. Since you’re already doing tox treatments, adding a bit of strategically placed filler is usually the next step I’d recommend before considering surgery or a lift.

Of course, the best approach depends on an in-person assessment to evaluate skin tone, muscle movement, and the degree of asymmetry — photos help, but those small nuances make all the difference when planning natural results.

Every single individual on this planet has a symmetry in the face and the body. The eyebrow symmetry is almost always linked to the asymmetry in the skeletal structure of the face with one eye socket, being a little higher than the other, also being set deeper with respect to the other. That in itself implies that you should not attempt to do anything in an attempt to chase perfect symmetry. You will only create more problems by trying to do so. I hope this helps and good luck from Leonard Grossman, M.D., organic Plastic Surgery, New York City.