Is 20 Years Old Too Young for Endoscopic Brow Lift?

Question

I am 20 years old and have inherited droopy eyebrows. I think an endoscopic procedure could improve my appearance. Am I too young to undergo this type of procedure?

Elizabeth Slass Lee, MD · Answer

If your brows are low at 20, you may be a candidate for brow lift surgery. We tend to consider a brow lift to be a procedure to correct changes from aging, but some people have inherited a heavy brow look which is apparent even at a young age. If this is the case, a brow lift may open up your eyes in a very natural way. Don't hesitate to seek the advice of a plastic surgeon

Richard J. Bruneteau, MD · Answer

It would be unusual for a 20 year
old to need a browlift to correct facial aging.  With this said it’s also fair to say that there’s a
tremendous range of anatomic variants amongst patients.  This is related to genetic factors and
not necessarily the aging process. 
It’s virtually impossible to make a recommendation in any given case,
without viewing pre-operative pictures or performing a physical exam.

In some patients low set brows may
be present at an early age and they may have significant consequences for the
patient.  They can make the patient
look angry and adversely impact how people perceive them.  Under these circumstances a browlift
may be indicted.

If you’re concerned about this
problem consultation with a board certified plastic surgeon is
appropriate.  This surgeon should
be able to make an appropriate recommendation.

Jeffrey J. Roth, MD, FACS · Answer

Hard to say without photos. Usually a browlift is not indicated in someone your age.   If you do have the isuses that your describe, it may be worth checking out.  Please see a board certified plastic surgeon for an evaluation.  He/she will see you with muscle movement.  Together you will come up with a plan.

Houtan Chaboki, MD · Answer

Hi nina1717 in canada,

	Generally, 20 is too young for any facelift surgery, including the eyebrow. Other nonsurgical aesthetic options to improve one's facial appearance at this age include such treatments as skin care, laser, light peels, or tretinoin.

	Some younger patients may be born with lower eyebrow position, and desire a slightly elevated brow. Botox Cosmetic may be another nonsurgical option to consider to elevate the brows without plastic surgery.

	Lastly, plastic surgery may be possible in younger patients. However, cosmetic surgery may not be the first option. Only after a comprehensive evaluation by a plastic surgeon can he/she help determine appropriate options for you. Best of luck

	Dr. Chaboki

John Philip Connors III, MD · Answer

Nina-
You have received some fantastic thread responses from my colleagues above! They are right, there is not a definitive age restriction or contraindication I am aware of for a brow lift. A brow lift corrects brow ptosis or sagging by repositioning the brow above the orbit or bony rim. It also, at least in my hands, inactivates the muscles between the brows that contribute to the dreaded "11's" or glabellar lines that many patients have treated with Botox or Dysport. It is a great operation in the right patient. Speak with your Board Certified Plastic Surgeon to get all the information you need to make an educated decision!
Good Luck!
Dr. C

Paul S. Nassif, MD · Answer

Hello,
If it is truly genetic and the brows are low, it would be ok to go through with the procedure. Hope this helps answer  your question.
Dr. Nassif

Kevin Ende, MD · Answer

Although an endoscopic brow lift is an excellent procedure for brow ptosis of most causes, most patients choose to try Botox or Reloxin prior to undergoing a surgical procedure. Age should not factor into the decision process. I would not recommend Botox in your forhead as one of the other respondents to this question suggested. Forehead Botox will lead to additional brow ptosis.

Ran Y. Rubinstein, MD · Answer

Nina,
I would have to see a photo of your face and brows in order to determine if a brow lift would be of benefit.  Most people having brow lifts are doing so due to sagging with age.  There is a smaller subset of my patients who are born with brows that are low or shaped in a manner that is not as attractive to them. 
I find that Botox injections can have a dramatic effect on lifting and reshaping eye brows.  You may want to begin with Botox treatments to see how you like the new position of your brows.
Good luck!

Eric M. Joseph, MD · Answer

You would be surprised how well BOTOX works in elevating your brows. Since you're only 20, I would keep surgery as a last resort and see how life is with some carefully placed BOTOX in your forehead.
I've attached a photo demonstrating this effect.
I hope this is helpful for you.

Scott Trimas, MD · Answer

Endoscopic browlift is not age dependent and in fact is the absolute best procedure in my opinion for improving congenitally low hanging eyebrows. I have recently done a nineteen year old male with thinning hair for congenitally or inheritedly low eyebrows. The procedure helped tremendously and looks much more natural in a young person who has a full head of hair. It is also done without visible scars and can relieve the heavy appearance to the eyebrows without affecting the eyelid position. So if you need or would like the procedure, I would go ahead but make sure you are comfortable with your surgeon first.

Is 20 Years Old Too Young for Endoscopic Brow Lift?

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