I'm 32 - Would a brow lift/blepharoplasty solve my asymmetrical face? (photos)

Question

Hi, I'm 32 and have one eyebrow that is higher than the other and highly noticeable at least by me in pictures. I also have noticed that my face has lost fat on one side more than the other and I feel as though it looks highly assymetrical. Would a brow lift / blepharoplasty for ptosis / fat graft solve for this? I'm not interested in fillers / Botox am interested in something more permanent.

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.​

Thomas A. Mustoe, MD, FACS · Answer

Some of the asymmetry in the two sides of your face are due to bony asymmetry . .  Your brow and eyelid asymmetry coukd be significantly improved but not completely by a unilateral browlift and bilateral upper blepharoplasty.

Patrick Flaharty, MD FAACS · Answer

Your photograph demonstrates a higher brow on the left when compared to the right and mild excess skin on both upper eyelids. You have several treatment options. You can use Botox to relax the frontalis muscle on the left side of your forehead which will lower your left eyebrow to better match the right eyebrow. Alternatively you can lift the right brow to better match the left which could be done with a unilateral, or asymmetric endoscopic brow lift. Lastly, you could do a conservative upper eyelid blepharoplasty which would address the upper eyelid skin but would not improve the brow asymmetry. A face to face evaluation with a surgeon experienced in brow lifting, Botox and blepharoplasty would be a great way to learn more about these options.

I'm 32 - Would a brow lift/blepharoplasty solve my asymmetrical face? (photos)

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I'm 32 - Would a brow lift/blepharoplasty solve my asymmetrical face? (photos)

Answers (3)

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Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.