Unilateral Brow Lift?
Doctor Answers 6
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Direct Brow Lift for Asymmetry
Unilateral Brow Lift
In general, a direct brow lift is the best choice to repair a brow asymmetry. This depends, however, on your full history and physical which you should do during your consultation with your surgeon.
Once an asymmetry is completely corrected, it should last many years. Whether or not you would need a repeat surgery in the future is dependent on a few factors: how well the brow was treated, the reason for your asymmetry in the first place, and how well you maintain your face and skin.
With good care of your face and skin (sunscreen, good nutrition, not smoking), you will help it last as long as possible.
Best of luck!
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Try botox first
There could be some continued sagging with aging, as the facial skeleton continues to remodel and you can lose soft tissue. So there is a chance you may need further surgery in the future.
It might be worth trying botox injections first to possibly "try out" the brow lift to see if you like it.
Essentially there are two muscle groups that have an impact on brow position. First is the Frontalis muscle that lifts the brow (makes your eyebrows wiggle). Secondly are the orbicularis oculi and corrugator supercilii muscles that depress the eyebrows. If you selectively relax the muscles that depress the eyebrow with Botox, the eyebrow will elevate.
If you like the effect of the botox, you can just continue getting the injections. We treat many people with eyebrow asymmetries (both surgical and nonsurgical), so there are many options.
Just a suggestion, and best of luck to you!
Correction of brow asymmetry
There are several approaches to this problem -- from simple to more involved. Best to discuss these options with a knowledgeable plastic surgeon.
Elliot W. Jacobs, MD, FACSNew York City212 570 6080
Unilateral brow lift
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.