Repair is a core building block of human communication, allowing us to address problems of understanding in conversation. Past research has uncovered the basic mechanisms by which interactants signal and solve such problems. However, the focus has been on verbal interaction, neglecting the fact that human communication is inherently multimodal. Here, we focus on a visual signal particularly prevalent in signalling problems of understanding: eyebrow furrows and raises. We present, first, a corpus study showing that differences in eyebrow actions (furrows versus raises) were systematically associated with differences in the format of verbal repair initiations. Second, we present a follow-up study using an avatar that allowed us to test the causal consequences of addressee eyebrow movements, zooming into the effect of eyebrow furrows as signals of trouble in understanding in particular. The results revealed that addressees’ eyebrow furrows have a striking effect on speakers’ speech, leading speakers to produce answers to questions several seconds longer than when not perceiving addressee eyebrow furrows while speaking. Together, the findings demonstrate that eyebrow movements play a communicative role in initiating repair during conversation rather than being merely epiphenomenal and that their occurrence can critically influence linguistic behaviour. Thus, eyebrow movements should be considered core coordination devices in human conversational interaction.