Overactive Eyebrow on One Side

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,

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. 

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.

I would recommend that minor asymmetries in the brow be treated initially with Botox or Dysport.

In most cases, a small amount is needed, but if you are thirty, you may consider beginning treatment in the glabella, brow and crow's feet area for aging prevention.

I hope this helps.

Dr. Torkian - Lasky Clinic, Beverly Hills

There are many reasons for asymmetric brows and everyone has some degree of asymmetry to his/her face.  If you have a hyperactive forehead muscle (frontalis), you could try a Botox treatment with more on the right side to see if relaxing the muscle will improve the symmetry.  One reason for having a hyperactive forehead muscle is droopy eyelids (ptosis).  The brain compensates for this by chronically raising the eyebrow to open up the eye.  If you address the underlying issue, the brow will tend to follow.    

Overactive eyebrows tend be to a hyperactive frontalis muscle; this can be softened with 1-2 units of botox; however, if you notice that both eyelids feel heavy, you can consider getting botox at the tail of each brow. This will in effect lift the lateral part of the brows and alleviate the heaviness. Both options can be done together, but I would recommend that whoever treats you forehead on the side of the raised brow (hyperactive frontalis) stay high to avoid making the brow feel heavy/ drop

I will tell you that many patients have one eyebrow that is a bit more active thanthe other side, but without an exam it is difficult to tell you what would be best for you.

Many people have asymmetric eyebrows. In many cases this may be do to underlying drooping or ptosis of your eyelids which you are subconsciously accommodating. Although Botox may fix the eyebrow problem I would make sure you don't have underlying ptosis. You may find that your eyelids drop after eyebrow botox leaving a less than desired result. If ptosis is present, ptosis repair of the lids often reverses the eye brow asymmetry.

I see this asymmetry frequently in my practice. I FIRST try Botox to see if a temporary correction can be achieved to the patient's satisfactio. Than if happy I can use the Botox therapy 3 to 4 times a year or do a unilateral Thread lift, limited forehead lift on the non effected side. Seek in person evaluations.