Age 30, rhinoplasty & eyebrow lift or blepharoplasty?

Thank you for your question and sharing your photos

On the side where the eyebrow is slightly higher the eye socket is also slightly higher. If you examine carefully the photographs of any person, you will notice that the eyes are not set exactly at the same level.

If the problem that concerns you most is related to the eyebrows symmetry an eyebrow lift is likely to be more effective but it will not match the level of the eyebrows to perfection. You can also use botulinum toxin to the side which is lower to help bring it up and see if you like the effect before committing to surgery. Blepharoplasty does not change the symmetry of the eyebrows.


For the rhinoplasty intervention, the profile of them looks very good but as you mention in your question, the deviation generates some asymmetry from the front and probably from the oblique views. Rhinoplasty surgery should be able to address these concerns and since the nasal skin appears to be relatively thin, definition from the front view after surgery is likely to be achievable.

What I notice about the nose is that it could be made a touch less prominent by elevating the tip and lowering the bridge some and softening the prominent tip cartilages that cause those shadows you see in the lighting of the frontal view. You should decide whether those are the changes you'd like to see for yourself.
Your brow position does seem to be asymmetrical, but a brow elevation on someone with an average or higher-than-average hairline is a less predictable operation -- we can't place an eyebrow where we want it, like we can place the position of the bridge of the nose about where we want it.
The lower brows can indeed allow some excess skin to collect on the upper eyelids, which makes us wonder about an upper eyelid blepharoplasty. The problem with that is that it's uncommon for a 30-year old to be a great candidate for a blepharoplasty; sometimes the patient comes out looking different, but not necessarily better.

How *much* to elevate the tip, or lower the bridge, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.