What is wrong with my eye and eyebrow? One eyebrow is higher than the other (Photo)

Question

One of my eyebrows is quite a bit higher than the other and that same eyelid seems heavier than the other. How can I treat this? Also, I'm considering Botox in my forehead to treat fine lines. Is this a bad idea?

Kenneth D. Steinsapir, MD · Answer

This is not "normal" asymmetry.  There is a reason why you are compensating on this side.  Generally it is an early levator tendon disinsertion.  These disinsertions lead to upper eyelid ptosis.  The brain compensates for this to varying degrees.  A detailed personal consultation and examination usually will get to the bottom of the problem.  Options for repair very much depend on what we find at that visit.  What I don't recommend is going to some bozo for botox to drop the eyebrow.  There is a reason why your brain is making this compensation.  Having a botox service that knocks out the compensation without getting to the bottom of why you are doing it is a formula for unhappiness.

Jason Emer, MD · Answer

Yes, Botox can be used to improve symmetry of the eyebrows and forehead lines. Botox results resolve in 3-4 months. See an expert. Best, Dr. Emer

John Tang, MD · Answer

Thanks for submitting the photo.  It appears that the Lt eyebrow is higher than the right.  Depending on what you like better and what else is going on, you can use Botox to raisr the Rt eyebrow or use Botox to lower the Lt eyebrow.  If you decide to try Botox, I would recommend that you see an experienced cosmetic surgeon to get the best results.

Andrew Campbell, MD · Answer

It looks like you raise the one eyebrow, causing the brow to be higher and that eyelid to have more lid show. You can treat your forehead lines with Botox, making sure that the part of the muscle you are using to lift that side is treated so the brows and the eyelids appear more symmetric. See an injector with experience.Andrew Campbell, M.D.Facial Rejuvenation Specialist
Quintessa Aesthetic Centers

Daniel Barrett, MD · Answer

Dear allisonjoyner17,based on your photos, it looks like you will benefit from Botox. Botox is generally an on off switch for muscle activity. I get a fair amount of actors/actresses in my practice that are looking to reduce wrinkles but keep some expression. Finding an experienced physician injector is your best bet. Most of patients see first changes after 4-7 days and the final results after 10-14 days. It depends on the amount of Botox and area where it is injected but it usually last for 3-4 months.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Aldo Guerra, MD · Answer

Hi Allison.Thanks so much for this question. I see the differences in your eyebrow in the photos you have posted. I believe Botox will help you with fine lines and to achieve better symmetry. I suggest you see an injector/physician with an eye for the details of Botox injections!Best wishes. Dr. ALDO

Jo Herzog, MD · Answer

Brow asymmetry can be corrected or improved with neurotoxin. I would first  examine you to be sure that nerves appear to be functioning correctly. I would then try to raise your right brow to see what I could achieve with that and then go on from there. Other creases could be addressed at same time .

Camille Cash, MD · Answer

Botox is frequently used to improve brow asymmetry.  I recommend visiting with an experienced injector and discussing your treatment goals.  It can take up to two weeks to see the full results from your Botox treatment and you can expect it to last about 3 months.

Joyce Davis, MD · Answer

Your situation can easily be fixed with a little Botox.  Your physician needs to place a small amount above the left eyebrow (in the forehead above) to lower it.  This will have to be repeated every few months, as the product wears off.  Good luck

Shaun Patel, MD · Answer

Neurotoxins like Botox and Dysport can be used to treat horizontal forehead lines as well as too correct eyebrow asymmetries.

What is wrong with my eye and eyebrow? One eyebrow is higher than the other (Photo)

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