Eyebrows are not symmetrical! One of my eyebrows is higher than the other, so how do I fix this? (photo

Question

Hi, I am a 19 year old male and have recently noticed that one of my eyebrows sits slightly lower than the other when my face is relaxed! While it isn't noticably in a mirror in photos it has really started to annoy me and was wondering what the best solution would be for this, please?

Sanusi Umar, MD · Answer

The asymmetry shown in your photos are relatively minor. But I can see how that can be annoying to you seeing it daily in the mirror. It is always good to gauge the benefits vs the risks in every condition for which you seek treatment. In this case given the subtle nature of the situation, doing nothing is a viable option. But you can consider a temporary using neuromuscular blockers for example Botox, Dysport or Xeomin to slightly raise the lower brow or bring down the higher one a tad. More permanent procedures would call for surgical solution sat the hand of a qualified occuloplastic surgeon or plastic surgeon, with the understanding that you may not achieve a satisfactory result or worse still suffer complications that may leave you worse off. Good luck

Mehryar (Ray) Taban, MD, FACS · Answer

It is likely that the brow asymmetry is due underlying eyelid asymmetry. An eyebrow is often raised in order to compensate for hidden underlying eyelid ptosis. See an oculoplastic specialist for evaluation.

Jonathan Cabin, MD · Answer

The easiest and best solution to this eyebrow assymetry is a small droplet of botox into the outer portion of the lower brow. This will slightly weaken the muscle that brings the brow down, helping to make their heights even. This must be performed every 2-3 months to maintain this appearance, but it takes only 1 minute or less to do.
In the long run, you may opt for a surgery called an asymmetric brow lift, where your lower brow is lifted a bit higher than your other brow. This can be done in several different ways. I wouldn't recommend this at this time - if I were you I would try the botox. Should work like a charm!
Hope this helps! Best, Dr. Cabin

Shahin Fazilat, MD, FACS · Answer

A small amount of Botox placed correctly can easily fix an asymmetrical eyebrow.   Be sure to see an experienced injector.  Best of luck!

Jason Emer, MD · Answer

Asymmetrical eyebrows can be improved with Botox. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Vaishali B. Doolabh, MD, FACS · Answer

Hi DolphinLover24.  There are a few reasons for one brow to be higher that require a physical examination to elucidate. Dynamic muscle movement asymmetries can be improved. If your forehead muscle pulls more (sometimes subconsciously/habit) on the right, then Botox injections will be effective in lowering it..  If your brow depressor muscles on the left is pulling it down more, then again Botox injections will be effective in raising it.  All people have a stronger side of the face that is bigger, longer, thinner that lead to static asymmetries, in which case the only ways to increase symmetry revolve around grooming the brows differently & cosmetic tattooing.   An expert injector will be able to tease apart the different causes-see your PS.  Best wishes,

Monika Soni, MD · Answer

Asymmetry is minor and it all depends if you are willing to undergo short term treatments such as Botox injection and have to do if every 3 to 4 months, or undergo surgery, or just have professional shaping eyebrow alteration that will improve the symmetry. Good luck!

Hardik Soni, MD · Answer

Asymmetry is minor and it all depends if you are willing to undergo short term treatments such as Botox injection and have to do if every 3 to 4 months, or undergo surgery, or just have professional shaping eyebrow alteration that will improve the symmetry. Good luck!

Rebecca Gelber, MD · Answer

Botox or other medication in this class is the fastest and easiest solution, but you will need to retreat every 3-4 months. A more lasting solution can be the use of PDO threads to help lift and build collagen over the low eyebrow.

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  A small amount of carefully placed Botox can improve eyebrow symmetry.  Please be sure to see an expert injector for an in-person consultation to fully discuss your concerns and your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes!

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