One eyebrow arches higher then the other. What's the best treatment? (Photo)

Question

For some reason my left eyebrow is always arched oppose to my right which looks normal. I think in may be an over active muscle as I could feel a bump where the arch is as if the muscle is flexing (the other eyebrow again feels completely normal). Is there anything that I could do that doesn't involve going to get medical treatment? (Botox and whatnot)

Leila Kasrai, MD, FRCSC · Answer

I think a few units of Botox in the higher brow could relax it, making it more even with the lower brow.

Jerome Edelstein, MD · Answer

Hello, Thank you for your question. It is very common to have facial asymmetry and a difference in muscle movement on each side of the face. If this is something that bothers you, it may be helpful to discuss subtle options for injectable treatment, (Botox or Dysport for example.) with a skilled injector, and then decide if that's the right option for you. All the best.

Thomas Buonassisi, MD · Answer

It is completely normal to have some asymmetry to your brows. It is not necessary to treat this. It can in some cases indicate a slight drooping of the eyelid(ptosis)on the same side and you are compensating for this by pulling the brow up. Try a small dose of Botox or Dysport and see if that solves the problem for you.Good luck!

Sheila S. Nazarian, MD · Answer

A small dose of Botox could certainly help improve your brow asymmetry if it really bothers you. Make an appointment with a board certified plastic surgeon in your area (link below) to discuss. Best, Dr. Nazarian

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your photos. I would recommend a small amount of Botox or Dysport to help with your brow asymmetry. It may not be perfectly symmetrical afterwards,  but it can help the results be more symmetric. I would also recommend going to an experienced injector as this is a more nuanced procedure and concern.

Michael J. Weinberg, MD · Answer

Thanks for this question.It looks like it would be easy to lower the high eyebrow with some Botox. If you want to raise the other one you should also be able to do that with a combination of fillers and botox.

Donald B. Yoo, MD, FACS · Answer

Everyone has asymmetries to their face, and many people will have one brow exhibit greater activity than the other.  Botox with an experienced physician is a straightforward way to create greater symmetry between the brows.

Bram Kaufman, MD · Answer

Your situation brings up a very common concern. Everyone has some asymmetry but the degree to which one is willing to call "normal" is always a personal battle. The only way to accurately answer your question would be an in person exam. However, it is reasonable to assume that botox (chemodenervation) might be useful. Exactly where you would need the treatment depends on the findings on exam and your desires. It very well may come down to a trial dose in one or more areas. Hope this helps and good luck.

Jason R. Lupton, MD · Answer

Any of the neurotoxins (Botox, Dysport, or Xeomin) could be used in the brow to fix this asymmetry. This should be a relatively easy fix. As always be sure to go to a board certified dermatologist or plastic surgeon for best results.

Steven Wallach, MD · Answer

You have one side that has a more active brow muscle than the opposite side. This may be for many different reasons including possible ptosis on the side that is more active.

One eyebrow arches higher then the other. What's the best treatment? (Photo)

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