What treatment would you recommend for my asymmetrical eyebrows? (photos)

Patients with asymmetric eyebrows can improve their physical
findings temporary (non-surgical) or permanently (surgically). For non-surgical
treatment of asymmetric eyebrows, the patients could be treated with cosmetic
neurotoxins like Botox. The results are evident in about 3 days and last
approximately 3 to 4 months. Patients will require serial treatments to
maintain the desired effect. For surgical options, an unilateral or asymmetric
endoscopic brow lift will correct the deformity with a long lasting result
(years). This is performed through small incisions located a the level of the
hairline, making the scars inconspicuous once they are healed. Candidate patients can undergo with endoscopic
brow lift under pure local anesthesia with minimal discomfort or pain, avoiding
the need of going to sleep and its risks (general anesthesia or IV sedation
risks). Patients interested in management of asymmetric eyebrows should consult
with a Board Certified Plastic Surgeon.

Hello and thank you for your question. You have a couple of options for addressing your brow asymmetry. The first is injections of a neuromodulator like Botox into the appropriate forehead muscles to bring the brows into alignment. This procedure is quick and relatively comfortable, with no downtime afterward. The drawback is that the improvements are temporary and you will need to repeat the procedure every 3-4 months to maintain your results.

Your second option is a surgical brow lift, which could adjust the brows and create balance to the face. I perform most of my brow lifts endoscopically, which means smaller incisions and quicker recovery for most patients. The procedure can be performed with local anesthesia and recovery is about one week. This would provide a more durable result without the need for repeat treatments. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon for further assessment and to discuss your options.

I agree with what my colleagues have said.For now, start with something simple, reversible, and less expensive: botox/dysport possibly in combination with fillers. See how far that gets you, and if it is not enough, consult with your surgeon about something more invasive. 

Eyebrow asymmetry can often be improved with either a completely one-sided brow lift or a brow lift that raises one side more than the other. The method chosen will depend on what other issues you wish to correct. Since it will vary depending on your specific situation, a consultation with a board certified facial plastic surgeon is necessary to determine the best approach.

For short term neuromodulators (Botox, Dysport,etc.) can help even the brows and a surgical limited browlift (modified browlift) will have long term results. Of course, there is a significant cost difference but at your younger age the surgical result last quite a long time.

Asymmetry is the norm and is present in everyone. It is what gives us our unique appearance. The brows are also naturally different shapes, and we all have a arched side and a flat side. That being said you do have a significant difference between the lower right side and the elevated left side. Which do you like better? Botox treatment can be use to temporarily adjust the brows. Brow lifting also reposition the brows.

From your photo there appears to be significant asymmetry of your eyebrows.  I would not expect Botox to completely correct this amount of symmetry, especially in the medial brow region.I believe there are 3 options for surgical correction.  With this degree of asymmetry, a unilateral endobrowlift does not have enough differential movement at the galeal layer and I would not anticipate the medial brow being corrected completely, much like the Botox treatment.  Also, an open brow lift in the subgaleal or subperiosteal planes would not be expected to allow enough differential movement to totally correct the asymmetry.The first option would be direct skin excision immediately above the R eyebrow which could precisely elevate the brow and be controlled with high predictability.  This approach would be the most straight forward and the least amount of surgery.  I generally do not like these procedures due to the possibility of having a visible scar.The next option would be a R frontal hairline scar where the skin was elevated from the frontalis muscle immediately below the subcutaneous layer.  This would allow asymmetrical movement of the R brow to more closely approximate the position of the L brow.  The incision at the hairline can be beveled to allow hair to grow across the scar, thus helping to camouflage it.The third surgical option would be to place the incision behind the hairline and remove a segment of scalp in order to elevate the R brow.  The skin flap would also be elevated below the subcutaneous plane to allow differential movement of the R brow.  The downside to this approach is the loss of a strip of hair and the possibility of having the R frontal hairline being slightly higher than the L side.I hope this has been of help to you in providing some useful information.  Good luck!

 Everyone has asymmetry of the eyebrows, some worse than others. The photograph demonstrates a significant asymmetry present with the right eyebrow being much lower/ flatter than the left. A temporary lift can be  accomplished with Botox.  For permanent results a brow lift of the right-sided eyebrow  can be lifted to match the left side.  The placement of the incision will be determined at the time of the consultation on examination.  For many examples of brow lifts, please see the link and video below

Dear Emily_layla,

Thank you for your clinical submission and photo. It appears that you have a hereditary
asymmetry of your brows; the left being higher than the right. This is an aesthetic variation that can
sometimes provide a displeasing appearance.
If this asymmetric appearance of your brow does, in fact, bother you,
you have several options. The easiest
solution is the use of Botox® to try to create some brow symmetry, which can
usually be performed quite successfully in the hands of a very experienced
Botox® injector. I have been injecting
Botox® for over 20 years and have been performing browlift surgery as well. I find that this kind of subtle brow
asymmetry can be corrected with injectables and you’re not subjected to the
same risks of surgery. The problem with
an injectable Botox® approach to brow symmetrization, or creating symmetrical
brows, is you have to keep repeating the Botox® three to four times a
year.

As this is a hereditary condition not subject to aging, the
fact that you are young does not contraindicate the use of surgery. A unilateral browlift on the right side,
performed under local anaesthesia, using a small telescope and a small incision
is an excellent way to provide more symmetry to the brows. The procedure is quite straightforward, can
be performed in under an hour and is very successful for long-term balance
correction.

For more information, please review the link below.

I hope this information has been of some assistance and best
of luck.

Sincerely,

R. Stephen Mulholland, MD

Certified Plastic Surgeon

Yorkville, Toronto

Although most people do have asymmetry to their faces, your right eyebrow (in photo) appears lower than the left eyebrow.  You can see more of the eyelid in the left eyebrow.  Having a browlift can even the eyebrows out.  How old are you?