Asymmetrical eyebrows: do I have ptosis? (Photo)

Question

My left eyebrow has been lower for years. Is this ptosis? If not, what causes it to be this way and what kind of doctor should I see? Thanks in advance.

Kenneth D. Steinsapir, MD · Answer

However, there are a few other things going on.  There is a bit of facial asymmetry so the left eye appears to sit a bit lower in the face than the right eye.  Also in the second picture, it looks like the left pupil is smaller than the right pupil.  If that proves to be the case on examination, we call the combination of a small pupil and a heavy upper eyelid on the same side, Horner's syndrome.  An actual clinical consultation with an oculoplastic surgeon is warranted.  I recommend determining who takes you health insurance.  You will likely need some testing as well to confirm the dignosis.  If this is Horner's syndrome ptosis, it typically responds well to ptosis surgery.

Curtis Wong, MD · Answer

are more a reflection of your inherent facial asymmetry and you just happen to have more than the average person.  Elevating your brow will only increase the space between your lid and brow and you will still have asymmetry of your eyes.  You could consider some Botox under the lower brow to allow you to see what you may look like with your brows more level.  And if that is acceptable, then you could have a browlift on one side.

Fred Suess, MD (retired) · Answer

It appears that you do have ptosis. Your left upper eyelid is lower and in addition your left eyebrow is lower than your right. You can correct this with a left brow lift at the time of ptosis repair.

Asymmetrical eyebrows: do I have ptosis? (Photo)

Answers (3)

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