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Eyebrow asymmetry: ways of correction
1Department of Plastic and Reconstructive Surgery, Hand Surgery, Burn Center Krankenhaus München-Bogenhausen, Academic Teaching Hospital, Technical University Munich, Englschalkingerstrasse 77, 81925 München, Germany. wmuehlbauer@t-online.de
Aesthetic Plastic Surgery
|October 10, 1998
Summary
Asymmetric eyelids are often caused by eyebrow asymmetry due to muscle dynamics. Addressing eyebrow asymmetry, not eyelid surgery, is key for patient satisfaction and aesthetic correction.
Area of Science:
- Plastic Surgery
- Ophthalmology
Background:
- Patient requests for eyelid asymmetry correction are common.
- Eyelid asymmetry can often be masked by or secondary to eyebrow asymmetry.
Observation:
- Asymmetric eyebrows typically result from hyperkinesia of the frontalis or depressor supercilii muscles.
- Asymmetric blepharoplasty may not correct the perceived eyelid asymmetry and can reveal underlying brow issues.
Findings:
- A detailed, problem-oriented preoperative analysis is crucial for managing eyebrow asymmetry.
- A 10-year experience utilizing a problem-specific approach included botulinum toxin A injections, superselective neurotomy, endoscopic browlift, and traditional browlift techniques.
Implications:
- Effective management of eyebrow asymmetry requires tailored surgical and non-surgical interventions.
- Addressing the root cause of brow asymmetry leads to improved patient outcomes and satisfaction.