Ways to fix overactive eyebrow muscles?

Question

My right eyebrow, with the exception of when my face is at complete rest, has the tendency to raise/arch significantly higher than my left which stays perfectly still. Do I get botox? Or can I train my left eyebrow to move as freely as my right to create symmetry?

Brian C. Reuben, MD · Answer

Thank you for your question.  It is normal for there to be differences from one side to another.  This holds true for eyebrows as well as other things around the body.  Your options include botox to either paralyzed the forehead muscle on the side that is over active or botox on the opposite side to paralyze the orbicularis occuli muscle to try to raise the opposite eyebrow if it is out laterally where the problem is.  Another option is to have an aesthetician help shape your eyebrows to make them more symmetric.  Good luck

J. Jason Wendel, MD, FACS · Answer

Thank you for your question. It's impossible to say without photographs and a consultation.However, Botox can and is very good for strategically adjusting asymmetries associated with the imbalance of facial muscles.

To be sure, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.

I hope this helps.

William Numa, MD, FACS · Answer

Botox can modulate muscle activity well, and it can play a very important role in obtaining improved facial symmetry and harmony.

Donald B. Yoo, MD, FACS · Answer

By using Botox to modulate the activity of your right eyebrow, you will be able to create greater symmetry while also acclimating your muscles to moving an equal amount.  Your frontalis muscle is stronger on the right than left, but treatment Botox will help to even their strength.

Afshin Farzadmehr, MD · Answer

Botox is great product for achieving what you desire.  Make sure you go to a physician with experience.

Evan Ransom, MD, FACS · Answer

Subtle doses of Botox or Dysport can be used to even out the eyebrows. It's best to start with lower doses so you don't drop the brow too much. This would likely be 5 or 6 units on the overactive side.

Jason Emer, MD · Answer

This is normal, everyone is asymmetrical and most people find those that are more attractive.  Botox will help if you are unhappy, just find someone well trained who treats a lot of patients.  I wish you the best of luck, Dr. Emer.

Paul E. Goco, MD · Answer

Your overactive forhead muscles on one side is a fairly common finding.  Can you train the weaker side to be as over functional to provide symmetry is very difficult but likely can be done but may take untold hours of training.  You would have to hold down the over active forehead muscles as you raise actively the weaker side.  Likely a lot of reps and periods of continued straining that muscle group would work but take a very long time to achieve symmetry.It`s possible but Botox is a lot easier and quicker.  Just a few well placed units of botox would ease the overactive muscle group.Good luck, let us know how you progress!!!!!!

David J. Levens, MD · Answer

It is very common to have minor asymmetries of the face.  In your situation, the frontalis muscle (brow elevator) is a bit more active on your right side. Botox or Dysport are very similar neurotoxins that are an excellent treatment to help even out your asymmetry.  The muscles that tend to depress or lower the brow on the left can be treated selectively to favor elevation on the left to compensate and/or the overactive frontalis on your right can be treated to carefully lower that side.I have had some patients that make a conscious effort to "train" themselves to modify their facial expressions, but that can be difficult and impractical.

Michele S. Green, MD · Answer

Most people are asymmetric to some degree on their face.  Botox has the wonderful ability when injected properly to correct these asymmetries.  Please find a board certified dermatologist with a great deal of experience with Botox for the best cosmetic result.

Ways to fix overactive eyebrow muscles?

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