Overactive Eyebrow on One Side

It’s not unusual to see people who
have some degree of eyebrow asymmetry and this can occur for a variety of
reasons.  In some cases, the
asymmetry may be related to an underlying boney abnormality of the skull.  In other cases the eyebrow may be
lifted in an upward direction to compensate for a drooping eyelid.  Finally, the eyebrow elevation may be
related to an increased muscular activity of the frontalis muscles.

Botox would be a good solution for
hyper brow elevation if the primary problem is isolated to the frontal forehead
muscles.  If the brow elevation is
a compensatory mechanism for drooping eyelids, botox might have secondary
consequences.  Under these
circumstances, descent of the eyebrow might make a
drooping eyelid worse.

Botox only provides a temporary
solution for this type of problem and needs to be repeated at three month
intervals.  For this reason, some
patients elect to undergo a browlift which offers a more permanent solution.

It’s important to consult a board
certified plastic surgeon who has experience performing eyelid surgery.  This surgeon should be able to make an
appropriate recommendation. 

This is a great question!
I'll start with the least invasive option which would be botox or a similar neurotoxin to the higher brow. This could be due to an overactive forehead muscle and treating with botox may lower enough to give you the symmetry you are looking for. The other option would be surgical and focus on raising the opposite brow to a similar height. You're best bet is to schedule a consult with a plastic surgeon familiar with this area of the face and these procedures.
Hope this helps and best of luck!
Kyle Kimura, MD

Overactive forehead musculature resulting in brow asymmetry is not at all uncommon. Many patients have asymmetric brows. In a young patient without the need for a brow lift, the easiest way to try to improve the brow asymmetry is through the use of Botox. This is something that should be performed by an expert physician injector, not a novice injector.
Certain brow lifting techniques can be helpful as well, but are not typically recommended or needed in younger patients or patients with otherwise adequate brow position.
All the best,