What do you recommend to correct eye asymmetry (Botox? Brow lift?)? (Photo)

Question

What would you recommend to help even out my face? One eye is larger than the other. My mouth also appears to have started "drooping" on one side. I am 43 years old.

Thomas A. Mustoe, MD, FACS · Answer

It looks like you have some asymmetry of your entire bony orbit making the right eye appear larger but part of the problem is brow asymmetry.   Facial asymmetry which we all have to some degree becomes more visible with the aging process.   A unilateral brow lift combined with some skin removal from the upper eyelids would help a great deal.  They can be performed as an office procedure with oral sedatives and local anesthesia.   When choosing a surgeon ask to see before and after examples of patients with brow asymmetry.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Kenneth Hughes, MD · Answer

Hello, thank you for your question. This can be improve with Botox, the effects of Botox wear off after 3-4 months, this is short term solution, if you want a long term solution you can consider a brow lift.

Toby Mayer, MD · Answer

Botox or Browlift for sagging brows? You can start with botox and/or proceed to a Browlift (using the Irregular Trichophytic incision-no visible scar) which will eliminate the excess skin in your upper lids). Therefore, you wont need an Upper blepharoplasty! This will improve your asymmetrical appearance and make your face more youthful! Don’t rely on imaging! Make sure your surgeons can show you dozens of his natural results.

Jeffrey Joseph, MD, FACS · Answer

Thanks for the question.   Although we are all asymmetric, a thorough exam is needed to evaluate your face.   Occasionally, for completeness I would obtain a CT scan of your face ( to evaluate the sinus cavities).

Ravi Dahiya, MD · Answer

To echo what others have said - either Botox or a browlift will help with the brow asymmetry the former on a temporary basis and the latter of course for a more long term solution. I would emphasize the concept of overall facial asymmetry. Everyone has asymmetry in their faces and bodies of course that varies in how much and in the specifics of which features. As you have noted, you may notice more "drooping" on one side and that usually correlates to the side where there is a smaller underlying bone structure. So having said all of that there are lots of great new much longer lasting fillers (Sculptra and Bellafill) which can help address facial asymmetry without the need for surgery if it is of concern. The good news is that there are lots of safe and very effective options. Best of luck.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and photos and though an examination is really needed the use of Botox to help raise the one brow may be an inexpensive short term solution with a unilateral brow lift in the futureDr Corbin

Vincent D. Lepore, MD (retired) · Answer

Although, no one treatment can correct all facial asymmetries, In your case Botox could significantly improve the brow asymmetry, but would need to be repeated 3 to 4 times per year.  A unilateral brow lift would be a more permanent solution.  Seek out a board certified plastic surgeon with extensive experience.  Best wishes, Dr. Lepore.

Michael Elam, MD (retired) · Answer

You appear to be a good candidate for a browlift procedure to help place the brows back to their pre-aging position.  When I perform the procedure I undermine down below the malar "cheek region" thus lifting the midface so it provides the patients a very natural  looking result and a very youthful appearance. For further information see examples in the link and video attached. Best regards, Michael V. Elam, M.D.

What do you recommend to correct eye asymmetry (Botox? Brow lift?)? (Photo)

Answers (9)

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