Blepharoplasty, maybe brow lift on one side? (Photo)

The best way to answer your question is to have a consultation. What you are representing is a dynamic problem that is hard to address with static photographs. Neurotoxins may help determine the best pathway for you. Yes, it's temporary but it would be a good investment to see how things would look with an improvement in your brow position.Hope this helps, Sincerely,Dr Kulick San Francisco

Thank you for the question and the photos. It certainly appears that you have brow asymmetry. I can't say for sure without an in-person examination, but it does not appear that you have eyelids ptosis. Addressing the brow position will likely help mitigate most of the eyelid issues, since the forehead/brow and upper lid are connected as a complex. In my practice, I routinely perform temporal browlifts -- including for asymmetry or doing a single side as needed. This has a high rate of success and the recovery is generally pretty easy. Have a great day!

It is not clear from your submitted photos that you have ptosis. It is clear that you have brow asymmetry with a higher left brow and strong corrugator pull on the inner eyebrows. That could be amenable to botox of the corrugators and the left forehead muscles i.e. is non-surgical. If it turns out that you are raising the brow due to ptosis of the upper eyelid botox only would not be appropriate. You need to be seen by a qualified surgery face to face as these nuance cannot be discerned in this online forum.

The Microdroplet LIft® is a cosmetic botulinum toxin method that does not freeze the forehead but concentrates the treatment at the eyebrow.  The brow lifts. It would make a nice difference but it is not surgery.  I think you need surgery.  I would do an anchor upper blepharoplasty possibly with a small ptosis correction. In my opinion, a surgical forehead lift will not accomplish what you need. You currently do your own forehead lift.  Unforunately, this surgery will lift the eyebrow.  This raised brow look is not a natural one for you.  Your youthful look includes a relatively low set brow and a relatively heavy upper eyelid fold,  The key is exposure of the eyelid platform above the eyelashes.  Untimately, there is no substitute for a personal consultation.

A mini brow lift done at the hairline without a noticeable scar is what will give you the result you want and you can return to work in 2 days on average. Your age has nothing to do with the problem since many young patients are seen with this problem. Botox can be tried first if you want but usually does not give as good a result and needs to be repeated every 3-4 months.See an experienced surgeon who does the Irregular Trichophytjc Forehead lift.

I can certainly see the asymmetry in your brows you're looking to correct. Rather than consider surgery, I'd recommend Botox injections to raise the lower brow. I think you'd have a nice result without having to undergo surgery. Hope this helps. 

Thank you for the photos.  It don't see a tremendous need for a brow lift based on the photos.  You might start first:With some botox in the crow's feet (you don't have wrinkles but inject that area) to allow the brow on the left side to go up a  bit.   That's simple.  Not invasive.  And may be a nice simulation of a unilateral brow lift you've asked about.  Don't jump straight to surgery but maybe the botox first then think about Dr. Ransom's suggestions.Second:  If you're moving forward with surgery blepharoplasty works but remember the eyes, forehead, and face are all living moving things and even after surgery soooooo what that means is because the right brow has more muscular tone and activity even with a brow lift and blepharoplasty the two sides will be a bit different.Third:  Ptosis.  I see no significant ptosis though there may be some present.  Repairing any ptosis issues for your is pretty premature.I'm a surgeon.  I perform eyelid surgery literally everyday and I'd still at least try and simulate your goals with botox for xeomin first.Chase Lay MD

Thanks for the great question! It's very common for people to have some differences between the two brows. The easiest way to fix it is through botox. When placed in different areas of the forehead, the botox can be used to fix brow asymmetry such as yours. Based on your photos, you are too young for any surgical procedure at this time. Make sure you go to a very experienced injector for your treatment. Best,~Dr. Sieber

The quality of your pictures limits the accuracy of advice that you will receive but it appears to me that you are displaying compensatory brow elevation for a ptotic eyelid on the higher I bra side.  I'd suggest that you meet with one or more oculoplastic surgeon for assessment and recommendation for treatment.  You should definitely not proceed with a browlift and should avoid Botox unless administered judiciously to the crow's foot region of the lower brow side.  Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, CaliforniaIG: jonperlmanmd

you have several things going on.  you actually have more brow ptosis on your right side. your left upper eyelid has a deeper supratarsal crease than the right side which can be addessed by an anchor blepharoplasty creating a deeper fold above the eyelid on the right side.  you also have slightly more actual eyelid ptosis on your left side.  all these issues may be addressed surgically. a suggestion is that if you did the blepharoplasties first you may decide that you may not not need the browlift(s) as I think the most obvious issue is the difference in the creases in the upper eyelids.