Facial asymmetry: could I have Botox injected so that one eye doesn’t appear raised/smaller when smiling?(photos)

Thank you for your question. Botox Cosmetic may be a good option for improving your facial symmetry. This injectable treatment works by relaxing the muscles in the face that contract when performing certain movements, such as smiling. Relaxing the muscles on the right side of your face may help to balance your smile and create a more symmetrical appearance. I recommend that you schedule an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and help you select the best treatment option.

In looking at your pictures, it does appear that the Rt eyebrow is slightly lower than the left side. You can consider using Botox to raise the Rt eyebrow so it would match better to the left side. In the case of the Rt eye being smaller than the left, you can consider Upneeq eye drops that can be placed to the Rt eye which can temporarily work on the muscle of the eye to help open the eyelid to make it look more open and more symmetric to the left side.

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Thank you for your question! Placing a very small amount of botox above your left brow can drop the brow positioning some so it isn't as raised. You can also try placing botox below your right brow to try and lift that brow more and open the eye. If you are going to an experienced injector they will be able to try and create some more symmetry for your with botox but keep in mind, everyone has a little bit of asymmetry and that is normal! You will never get to be completely symmetrical but it is worth a shot! Hope this helps.

Hello, and thanks for your question. Yes-botox can be placed above the lateral aspect of the eyebrows to lift droopy brows and provide a lift. Please see a board-certified plastic surgeon for best results. Best of luck to you!
Sincerely, James Fernau, MD FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society