One of my eyebrows is more hooded than the other, what can I do? (Photo)

Question

Hi! My right eyelid is more hooded than the other, which also makes the eyebrow lower than on the other side. What can I do to make them even?

Kenneth D. Steinsapir, MD · Answer

You have bilateral upper eyelid ptosis.  The left upper eyelid is more ptotic or droopy than the right side.  You have a compensatory left eyebrow elevation.  You need thoughtfully performed cosmetic upper eyelid ptosis on both upper eyelids.  This work is done asymmetrically to appropriately correct the differences found in the eyelids.  Also an anchor blepharoplasty is needed to make a hard upper eyelid crease and support the upper eyelid lashes.  Finding a surgeon in your country to do this work cosmetically will be challenging.

Justin C. Cohen, MD, FACS · Answer

Having one eyebrow higher or lower than the other is extremely common and basically the norm. I agree that your right one sits a bit low. There are non surgical options including Botox, Dysport, etc to help create more symmetry and also surgical ones. Browlift with or without blepharoplasty could be considered. Make sure you consult with an expert in person to go over all your options. Good luck!

Jessica Lattman, MD · Answer

Thank you for your question. I do see the asymmetry of your upper eyelids and brows. An upper eyelid blepharoplasty can help to even out the upper lids. It is be important for you to have an evaluation in person, because the position of the eyebrow can be variable. And this can also affect how hooded the upper lid appears.

Ivan Vrcek, MD, FACS · Answer

Thank you for your photo and question.
In my opinion, left upper eyelid ptosis is causing the asymmetry that you are noticing. Because your left upper eyelid is a little "droopy" you left brow is demonstrating compensatory elevation. This results in less "heaviness" or "hooding" on the left compared to the right. This can be corrected to improve symmetry. I would recommend an in-person evaluation with an ASOPRS oculoplastic surgeon so that you can talk about which side you like more and what your particular goals are.
Best of luck!

One of my eyebrows is more hooded than the other, what can I do? (Photo)

Answers (4)

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