Dr. Sam Lam Plastic Surgery Forum

If an eyebrow sits like 4mm higher than the other one, is it possible to equalize them?

Essentially no. Browlifts will most likely fail because the muscles return to where they are with repeated motion. I did a unilateral browlift in a patient with nerve paralysis and that has held close to two years now but her paralysis helped hold that brow in position. If the brows are that far off, you may want to check your eyelid to see if one brow is held much higher to compensate for a weak upper eyelid. You need to consult your physician if that is the case. All you have to do is see that the eyelid is hanging down on the side that the brow is up on. Also, you just may have asymmetry. On all my consent forms I put "The two sides of the body are not the same and can never be made the same." That is important to know.

Okay, Botox can help equilibrate the two sides by raising the depressed side and/or lower the high side. Remember that I use Botox to manage wrinkles and control habits but it can for the short term make the two sides more even. If your problem is something else like a weak eyelid on the lifted brow side then the eyelid will get worse. Bottom line, you need to speak with your physician about all of this.
best,
SML

actually my left eyebrow is about 1mm too high compared to the other one. Not possible to change that? besides I wanted to ask: can you do epicanthoplasty without leaving scars (I'm not talking about so-called "no-scar epicanthoplasty")? Thanks for your time

1. You need to read my blog on symmetry first. However, Botox is the only way to temporarily and safely improve asymmetry. If it is 1 mm off, you may be obsessing over something that is really inconsequential.
2. I don't know what you mean by "no-scar epicanthoplasty". I do my epicanthoplasty from along the crease of the inner part of the eye so it is a much less visible scar than traditional epicanthoplasties but there is always a chance of a visible scar in an area that is highly prone to scarring. That being said, I rarely see a visible scar that I have to manage.
best,
sml