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. 

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,

It is not unusual to have one eyebrow which is more active that the other.  Just watch people on TV and you will notice that most people move one eyebrow more than the other.  The fastest and most effective way to help balance the eyebrows is by using Botox Cosmetic injections.  The Botox helps lessen the muscle action on the overactive side.  Good luck.