Brow Asymmetry Correction and V-Shape Lift Results
2-month before after of brow asymmetry correction with temporal browlift, midfacelift and buccal fat removal by board-certified surgeon in Istanbul, Turkey.
Patient Overview
Patient: Ranjuna
Age: 39 years old
Gender: Female
Procedures: Temporal browlift (brow asymmetry correction), midfacelift, buccal fat removal (V-shape lift)
After photos taken at: 2 months post-surgery
Location: Istanbul, Turkey
What Causes Eyebrow Asymmetry and How Surgery Corrects It
Almost every face carries some degree of asymmetry, but when one eyebrow sits visibly higher than the other, it disrupts the entire balance of the upper face. The lower brow makes one eye appear smaller or more hooded, while the opposite side may look perpetually surprised. For Ranjuna, a 39-year-old woman, this imbalance had progressed to the point where makeup and hairstyling could no longer conceal it. Her consultation with Dr. Cem Berkay Sinaci, a Fellow of the European Board of Plastic Reconstructive and Aesthetic Surgery (FEBOPRAS) and active member of ISAPS and ASPS, revealed that her concern extended beyond the brows into early midface descent and excess buccal fullness that was softening her jawline definition.
Temporal Browlift for Uneven Brow Position
Correcting brow asymmetry is not as simple as lifting both sides equally. It requires a calibrated approach where one brow is intentionally elevated more than the other to bring both into harmony. Dr. Sinaci selected the temporal browlift technique, which uses small incisions hidden within the hairline at the temples to access and reposition the lateral brow with precision.
During Ranjuna's procedure, one brow was lifted significantly more than its counterpart. This differential lifting demands meticulous preoperative planning, including detailed photographic analysis and precise marking while the patient is upright, because even a millimetre of difference is perceptible on the face. The temporal approach allows independent control over each side, making it the ideal technique for asymmetry correction. The incisions heal within the natural hairline and become virtually undetectable, even with the hair pulled back.
Midfacelift to Restore Cheek Volume and Reduce Nasolabial Folds
As we age, the soft tissue padding that gives the cheeks their youthful projection gradually descends, flattening the midface and deepening the lines running from nose to mouth. At 39, Ranjuna was beginning to show these early signs. Rather than masking the problem with dermal fillers, Dr. Sinaci performed a midfacelift to reposition the descended cheek tissue back to its original location higher on the cheekbone.
This approach restores natural anatomy instead of adding artificial volume. The result is a refreshed appearance that does not look overfilled or unnaturally inflated. Combining the midfacelift with the temporal browlift allowed Dr. Sinaci to address the upper and middle thirds of the face in a single operation, a strategy that produces a cohesive result because these zones age as a connected unit. Treating only the brows while ignoring the descending midface would have created a disjointed outcome where the upper face looks rejuvenated but the cheeks still sag.
Buccal Fat Removal for V-Shape Facial Contour
The final element of Ranjuna's treatment was buccal fat removal, a procedure that sculpts the lower face into a more defined, tapered shape often called the V-shape lift. The buccal fat pads sit deep within the cheeks below the cheekbones. When they are prominent, they create a rounded lower face that obscures the natural jawline and cheekbone contour.
The procedure is performed through small incisions inside the mouth, leaving no visible external scars. Dr. Sinaci's approach to buccal fat removal is deliberately conservative. Removing too much can create a hollow, gaunt look years later as natural facial volume loss continues with ageing. The goal is to enhance definition without over-sculpting. For Ranjuna, the buccal fat removal worked in concert with the midfacelift. As midface tissue was elevated upward and lower cheek volume was reduced, the overall effect was a clean transition from cheekbone to jawline, producing the V-shape contour she wanted.
Why Combining Multiple Facial Procedures Produces Better Outcomes
One of the most important decisions in facial plastic surgery is whether to address concerns individually or in combination. When multiple areas of the face contribute to an imbalanced appearance, treating them separately often produces incomplete results. The face functions as a visual unit. If the brows are corrected but the cheeks remain flat and the jawline undefined, the improvement feels partial.
By combining temporal browlift, midfacelift, and buccal fat removal into a single surgical session, Dr. Sinaci addressed every layer of Ranjuna's concern in one recovery period. This combination approach reduces total downtime compared to staging procedures months apart, and it allows the surgeon to fine-tune the balance between all three zones while the patient is on the table. The technical challenge is significant, which is why this kind of multi-level facial surgery requires a surgeon with advanced training in facial anatomy. Dr. Sinaci's fellowship training in Brazil and cadaver dissection courses in Bangkok provided the layered anatomical understanding that procedures like these demand.
What to Expect Two Months After Browlift and V-Shape Lift Surgery
Ranjuna's before and after photographs were taken at two months post-surgery, a stage where the majority of swelling has resolved and the tissues have settled into their new position. At this point, the results represent roughly 80 to 85 percent of the final outcome, with subtle continued refinement over the following months as deeper healing completes.
Her two-month images show clear brow symmetry. Both brows now sit at a harmonious level, and the tired, uneven expression she carried before surgery has been replaced by a balanced, refreshed look. The midface appears fuller and more projected, the nasolabial folds have softened, and the jawline has gained the tapered definition that buccal fat removal provides.
Travelling to Istanbul for Facial Asymmetry Surgery
Patients considering international travel for facial surgery need assurance that their surgeon understands the three-dimensional complexity of the face. Asymmetry correction in particular leaves no room for guesswork. Istanbul has established itself as a leading destination for facial plastic surgery, offering board-certified surgeons, modern clinical facilities, and comprehensive aftercare protocols designed for international patients. For women like Ranjuna who seek a combination of precision correction and aesthetic refinement, the city provides the expertise and infrastructure to deliver results that meet the highest international standards.
