Brow and eye lift to correct asymmetry? (photo)

Question

Hi I have always had a bit of asymmetry but as I get older it has gotten much worse. I have had Botox and fillers but it never seems to really help.

Goretti Ho Taghva, MD, FACS · Answer

Hello jessphila, thank you for your question.  I highly recommend that you see a board certified plastic/ oculoplastic surgeon in person for a physical exam before a treatment plan can be made.  You may have ptosis on your right eyelid that leads to compensatory brow elevation on your right side.  If that is truly the case, ptosis repair and blepharoplasty alone should be able to restore some symmetry to your upper face.  However, if brow asymmetry is not a result of ptosis, then an endoscopic brow lift +/- blepharoplasty may be the treatment of choice.  Good luck!Goretti H. Taghva MD

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Jonathan Kulbersh, MD · Answer

You have ptosis of your right eyelid causing your asymmetry.  You will require at a minimum a ptosis repair to improve the symmetry of the eyebrows and eyelids.  
I suggest consulting with a board-certified facial plastic surgeon with a good track record of successful ptosis repair and blepharoplasty procedures to find out which approach will work best for you.
I hope this helps!

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Botox and fillers are temporary solutions, and a brow lift, eyelid surgery or both have the potential to create greater symmetry as well as reduce signs of aging. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

Bahman Guyuron, MD · Answer

A large majority of eyebrow asymmetries are dynamic and are related to the forehead compensation for the eyelid ptosis (droopiness). This means that the muscle that is supposed to open the eyelid is not functioning properly and it is not lifting the upper eyelid enough and the forehead muscle comes to help and in the process the eyebrow gets lifted more on the affected side. If you measure the distance from your eyelashes to the first crease above the the eyelashes on the right you will find that it is longer than the left side. This is a sign of eyelid ptosis for us. Meanwhile, even with the compensation the eyelid is not opening enough on either side, more so on the right. However, Botox can cause all of this also. But, you indicated you had this before the Botox injection. I suggest that you consult a board certified plastic surgeon who has experience in forehead and eyelid surgery and understand all of this to help you properly.

Brow and eye lift to correct asymmetry? (photo)

Answers (8)

Answer: Brow Lift

Answer: Brow Lift

Answer: Eyebrow asymmetry.

Answer: Eyebrow asymmetry.

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Everything you need to know about Brow Lift

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Brow and eye lift to correct asymmetry? (photo)

Answers (8)

Answer: Brow Lift

Answer: Brow Lift

Answer: Eyebrow asymmetry.

Answer: Eyebrow asymmetry.

Browse related questions

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.