Left brow still lower than right one. Can this be corrected? (Photo)

Question

I got a forehead reduction with brow lift and I’m done healing. One of the things I thought would get corrected was the fact that the muscles that affect my right brow are stronger than the left so my right brow has a tendency to look higher. They looked even after the procedure so I thought it had been corrected but now that I’m done healing, left muscle seems to have weaken again and left brow looks lower again. Was I mislead into thinking this could be fixed?

Randal Haworth, MD, FACS · Answer

A forehead reduction with brow lift can help to correct sagging or drooping eyebrows and forehead skin, resulting in a more youthful and rejuvenated appearance. While this procedure can improve the overall symmetry and balance of the brows, it may not be able to correct underlying muscle imbalances.

If one of the muscles that affect your right brow is stronger than the left, it may still be affecting the appearance of your brows after surgery. While a brow lift can lift and reposition the brows,  again, it may not be able to correct underlying muscle imbalances.
If your underlying muscles were responsible for your left brow remaining higher, then either your frontalis muscle ( which elevates the eyebrows) is stronger on the left ( or conversely weaker on the right) or your corragators (or eyebrow depressors) are weaker on the left ( or conversely stronger on the right). Another factor which is often overlooked is the  underlying shape and slope of your skull; this can profoundly affect the height of your brow and explain why one side tends to recurrently slide down after surgery.

It's important to discuss your concerns with your surgeon and express your desired outcome. They may be able to suggest additional procedures or techniques that can help to address any remaining asymmetries or imbalances. Additionally, if the asymmetry is still bothersome, you may consider a second opinion from a board-certified plastic surgeon to evaluate your options further.

I hope this helps,
best of luck !

Alan Gonzalez, MD, FACS · Answer

Hello @Optimistic977237, thank you for your question. To make an informed recommendation, more information is needed. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

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