How can I make my eyebrows more symmetrical? (Photo)

Question

I’m really bothered by the asymmetry in my eyebrows and how asymmetical they make my face look. i had a right lid ptosis repair in december, and i know my lids are still not perfect, but i feel that the severe difference in my brows makes it look even worse. I‘ve been getting botox to try and even them out but it hasn’t helped. Would you recommend a brow lift? microblading? something else? please help!! i hate the way i look and will honestly do whatever it takes to feel better about myself

Lexie Wang, MD · Answer

Is this photo with botox in you or not? It's hard to tell if we are seeing any effect of botox on you. That being said, you should know it's normal for everyone to have about this degree of brow asymmetry (without giving you a complex, I think if you really study other parts of your face you'll see that there is one side that is "smaller" -- but it is like that for everyone); this is largely due to your skeleton and how the muscles attach onto the skeleton. That means that there is little one can do to give you 100% symmetry without doing really aggressive things like modifying your bone and reattaching muscles. I thinkt he correct call is sticking to nonsurgical procedures for this as that is the safest.

Laurie A. Casas, MD, FACS · Answer

Hi, 
Your history of right eyelid ptosis repair is very important when evaluating the brow asymmetry. From your photo, it appears that the higher brow may be overcompensating, with increased forehead muscle activity helping to elevate the brow and eyelid.

Since your surgery was relatively recent, this compensation may decrease as you continue to heal and your eyelid function and position stabilize. With time, the forehead muscle may not need to work as hard, allowing the brow to relax and potentially become more symmetric naturally.

For that reason, I would be cautious about trying to correct the asymmetry aggressively with Botox or proceeding with a brow lift at this stage. I would allow more time for healing and follow up with your surgeon to reassess your eyelid and brow position once things have stabilized.

Gary M. Horndeski, MD · Answer

I recommend a brow lift done at the hairline. This will decrease the vertical height of the forehead, lower the hairline and correct the asymmetry of the eyebrows. I do recommend waiting until the Botox effects have cleared before doing any surgery.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Based on this photo I would like to see higher brow being lowered rather then lift the opposite brow? It should be first decided  what is a cause of such a lift and decide what would be the best way to drop that eyebrow into more symmetric position. It is a very difficult decision to make. Try to find an experienced board certified plastic or oculoplastic surgeon with excellent reputation in periorbital reconstruction. Good luck.

How can I make my eyebrows more symmetrical? (Photo)

Answers (4)

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