One eyebrow higher than the other when smiling - solutions?

Question

One of my eyebrows is higher than the other, which becomes very obvious when I smile. Not so much in a neutral state. It makes one of my eyes look smaller than the other, and face asymmetrical. Is this something that can be corrected with... -A temporal brow lifts, where one of the brows get more lift than the other? -Or perhaps botox brow lift? -Or a Trichophytic brow lift with hairline lowering (I have a high hairline so Endoscopic is not an option). I am open to and welcome suggestions.

Michael Kulick, MD, DDS · Answer

From your picture it is hard to tell the exact dimensions of your forehead. It is also hard to tell the positioning of your eyebrows. That would be the value of an in office consultation. I have many patients that have asymmetrical brow position that is treated with neurotoxins. An endoscopic brow lift is effective for larger foreheads. I would need to see you before recommending a hairline lowering procedure. The link is for facelifts as many off these patients had brow lifts also. Hope this helps.Michael Kulick MD San Francisco, Ca.

Michael I. Echavez, MD · Answer

It is a bit difficult to fully evaluate your eyes and brows with the one picture you provided.  An examination of you in person would provide the most information to give you the best advice.  Having brow asymmetry is not unusual but there can be different causes and thus different treatments.  If there  is nothing medically wrong with your eyes, such as ptosis, the simplest treatment to improve brows of different heights would most likely be Botox.

Kapil Saigal, MD, FACS · Answer

Botox is a good choice to improve brow symmetry by raising the right eyebrow after treating deep brow depressor muscle and in some cases treating the hyperactive frontalis muscle on the opposite side.  This results typically in a 1-2 mm elevation of the lateral aspect of the brow and is sometimes referred to as a Botox brow lift.  If this treatment does not adequately improve the symmetry, brow lifting is an option.  Be sure to discuss your case with the specialist and good luck.

Curtis Perry, MD · Answer

Your photo shows a very moderate asymmetry. I think you have a good knowledge of brow lifts and reasonable options for treatment given your self assessment. While you may eventually proceed to surgery I think a trial of neurotoxin treatment would be reasonable. Also consider that is is very common for the lower brow to be on the smaller side of the face and fat transfer augmentation is often a good treatment to achieve moderate lifting of the brow in such cases. Fat transfer does not entail the risks of scarring and hair lose of surgery.

One eyebrow higher than the other when smiling - solutions?

Answers (4)

Answer: One eyebrow higher than the other when smiling

Answer: One eyebrow higher than the other when smiling

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One eyebrow higher than the other when smiling - solutions?

Answers (4)

Answer: One eyebrow higher than the other when smiling

Answer: One eyebrow higher than the other when smiling

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Everything you need to know about Brow Lift

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