Do I need more Botox to fix my brow asymmetry? Or do I need surgery? (Photo)

Question

My right eyebrow sits higher and has more of an arch than my left. I try to get Botox to fix the asymmetry. I received 2 units for a brow lift and they did my upper forehead lines as well. Do I need more? Or should the Botox be going somewhere else? Or do I need to consider surgery?

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for submitting your questions and photos. If you had brow asymmetry prior to receiving any Botox, then the only reliable way to correct it is with a surgical brow lift. In your case this would be a relatively straight forward procedure. Botox can be useful as a temporary fix but the results aren't as reliable, and you will need to repeat the procedure a few times a year for maintenance. In my opinion, your best course of action is to allow the most recent Botox treatment to wear off and then go for a surgical brow lift consultation for permanent correction. 
Best,Dr. Tower

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your exact situation.

For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping or asymmetry. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Do I need more Botox to fix my brow asymmetry? Or do I need surgery? (Photo)

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Everything you need to know about Brow Lift

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Do I need more Botox to fix my brow asymmetry? Or do I need surgery? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Brow Lift

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