How Can The Asymmetry In My Brows Be Fixed?
Q: Dr. Eppley, I have uneven eye sockets, my right eye is higher than the left, just at the top, making it so my eyebrow is up higher on that side. I was wondering if there is any way to fix this? And what would have to be done if so? I would just like for my brow on that side to be moved down and out just a tiny bit.
A: Brow bone asymmetry may be caused by differences in the position of the entire orbital box, but more commonly it is just differences in the brow bones themselves. The shape of the brow prominences or the underlying shape or pneumatization of the frontal sinuses may just be different. In a female, it is the actual brow bone shape or arch. This can be treated by brow bone reshaping by burring which can be done through an upper eyelid incision, provided that only the outer 2/3s of the brow bone needs to be changed. If the entire brow bone needs to be altered, then the best approach is through a scalp or coronal flap with turn down with complete brow bone access and preservation of the supraorbital and supratrochlear nerves. If the outer tail of the brow bone needs to be built up, this is best done by adding a small amount of hydroxyapatite cement. The combination of select burring and augmentation can change the shape or arch of the brow to a lower level with a more symmetric tail.
Dr. Barry Eppley