Can My Eyebrow Asymmetry Be Fixed By A Browlift Done Through The Upper Eyelid?

Q: Dr. Eppley, I have some eyebrow asymmetry that I wanted fixed by a browlift. Can this be done through a incision from the eyelid? Also what can eh done permanently remove the deep vertical wrinkles between my eyebrows? I have attached some pictures to provide a clearer understanding of my concerns.

A: Thank you for sending your pictures. When you mention the left eye, I assume the pictures are mirrored images since that is the eyebrow that is lower than the other side.

If that is the case, that degree of brow ptosis can not be well corrected by a transpalpebral approach as that browlift approach only affects the outer half of the eyebrow. All other methods of browifting, which are superiorly based, are more effective. Technically the direct browlift method with an incision at the top of the eyebrow is the most effective but the fine line scar is always a potential aesthetic concern.

Treating frown lines is one thing but they can never be permanently eradicated particularly when they are as deep as the two glabellar furrows that you have. They are so deep that direct excision of them with a broken line closure and dermal graft placement would be need to provide the best and most sustained improvement in their appearance.

Dr. Barry Eppley

Indianapolis, Indiana