Permanent solution to uneven eyebrows? Does this surgery require general anesthetic?

Question

Hi, I'm 30 and have one eyebrow that is higher than the other and highly noticeable at least by me in pictures. I have been getting Botox and wish for a more permanent solution. I like the height of my higher brow and don't wish to raise it much if I don't have to. Is a brow lift mostly on side even possible? Does this surgery require general anaesthetic?

Guy Massry, MD · Answer

Yes surgery can help asymmetric brow heights.  However your asymmetry can be dues no many factors (differences in bone support below, differences in volume of brow tissue, etc).  If these are not addressed the result will most likely regress over time.  Please see a specialist before proceeding and get all your questions answered.BestDr. Massry

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question. Pictures would be helpful to make sure that it is not a skeletal problem with the position of your orbits.Yes, a brow lift on one side can be easily performed and is often performed in individuals recovering from Bell's Palsy.

To be sure what is best for you, see
two or more board-certified plastic surgeons in your area for a full and
complete evaluation to make sure you are a good candidate and that it is safe
for you to have surgery.

I hope this helps.

Toby Mayer, MD · Answer

Minibrow lift with local anesthesia using an Irregular Trichophytic incision can do what you want without leaving a noticeable scar since hair grows thru the scar and not behind it. I have used this for 35 years without problem.

John J. Martin, Jr., MD · Answer

You can do a browift on just one side.  This does not need general anesthesia, and can easily be done with local sedation.

Robert M. Freund, MD · Answer

Assymetry to the eyebrow can be the result of;Trauma - this can be facial trauma or just repetitive trauma to one side of the face- like sleeping on the pillow face down.Bony assymetryBotox treatmentsFacial saggingThe best way to treat brow sagging due to excess skin is to remove excess skin above the one eyebrow until they are even. This procedure can be performed under local anesthesia. Any asymmetry due to bony abnormalities or repetitive stress will recur.

Stephen Weber MD, FACS · Answer

A browlift can be performed under either IV sedation or general anesthesia. For a complete unilateral browlift, I would not recommend local anesthesia but either IV sedation or general can provide a comfortable experience for the vast majority of patients. With regard to whether a one sided browlift would create the results that you seek permanently, you will need to seek an in person consultation.Stephen Weber MD, FACS Denver Facial Plastic Surgeon

William Portuese, MD · Answer

A traditional browlift is done under general anesthesia which involves asymmetrical lifting of eyebrow skin and adjusting the forehead muscles accordingly.  If only a small direct incision browlift is required, then the eyebrow lift can be performed under local anesthesia. The hairline can also be adjusted upwards or downwards depending upon placement of the incision. A full set of facial photographs are required to make a determination about how best to proceed. For many examples of  traditional browlifts, please see the link below

Francis R. Palmer, III, MD (retired) · Answer

In my opinion, the most natural and beautiful browlift is the coronal browlift.  I am able to elevate the eyebrows to a greater extent and adjust for asymmetry in the brows.  Yes, it does require anesthesia.

Permanent solution to uneven eyebrows? Does this surgery require general anesthetic?

Answers (8)

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