Blepharoplasty, Brow Lift or both for asymmetry in eyes? (photos)

Question

I'm 42 years old & eyes have been issue for awhile. There is asymmetry in eyes especially when I smile. If muscle on one side of my face is stronger than the other, is it possible to permanently weaken the stronger one? What else can be done if not? I think one brow is lower than the other. I'd also like that corrected. My eyebrows have a natural big arch to them. As I'm aging its a more severe look. Wrinkles on forehead now (but have Botox so they are gone & eyebrows also slightly lowered)

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Leo McCafferty, MD · Answer

Thanks for your question.  You do have asymmetry of the eyebrows and some but less asymmetry of the upper eyelids.  When you animate there seems to be some enhancement of that asymmetry but also some asymmetry of your smile.  I suggest before you do anything that you have a full evaluation by a board-certified plastic surgeon.  Also, if you have had any Botox recently it would be best to allow that to completely wear off because Botox can enhance asymmetry.  Obtaining perfect symmetry is impossible but there are some surgical and non-surgical procedures that may help.  Good luck!

J. Roberto Ramirez Gavidia, MD, FACS · Answer

Great Question! Blepharoplasty is a surgical procedure that helps treat eyelids, which can be performed on both the upper and lower eyelids. This surgery can help target the eyes by removing skin, muscle, and even fatty tissue. As a result, this may help with eye asymmetry. Neuromodulators, such as Botox, can be used to target the forehead muscles to assess asymmetry as well. As with any surgery, finding the right candidate for the procedure is imperative. Schedule a consultation to find out if a blepharoplasty is right for you! Best, Dr. RG

Thomas A. Mustoe, MD, FACS · Answer

You have significant brow asymmetry and unilateral browlift combined with blepharoplasty with weakening of eyelid depressors on left side ( excision of party of orbicularis muscle laterally as part of blepharoplasty would in combination help a great deal.

Blepharoplasty, Brow Lift or both for asymmetry in eyes? (photos)

Answers (4)

Answer: Blepharoplasty , browlift or both for eyelid asymmetry which is worse on smilie.

Answer: Blepharoplasty , browlift or both for eyelid asymmetry which is worse on smilie.

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Everything you need to know about Brow Lift

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Blepharoplasty, Brow Lift or both for asymmetry in eyes? (photos)

Answers (4)

Answer: Blepharoplasty , browlift or both for eyelid asymmetry which is worse on smilie.

Answer: Blepharoplasty , browlift or both for eyelid asymmetry which is worse on smilie.

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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.