No movement after brow lift? Give it time...

William A. Portuese, MD answers: One brow not moving 1 month after Brow Lift

My surgeon says to wait, and the movement will return. What could have happened?


William Portuese, MD
10 months ago

With respect to one eyebrow not moving after a browlift, this has to do with bruising, stretching or severing of the frontal branch of the facial nerve. This is the longest branch of the facial nerve and takes the longest to return for functioning. There is also a chance that it may never return.

Botox is the good interim measure that can be performed to the opposite side so as to decrease the asymmetry on the forehead. The lack of brow movement may take six months to a year to finally return. There is nothing that needs to be done in the interim, just let nature take its course since it is already one month after the surgery.

A: This can be a common occurance after brow lift surgery

Philip Young, MD
7 months ago

The nerves that innervate your eyebrow are very sensitive to pressure and stretching which can make them weaker for a time after a browlift. This happens to a lot of surgeons. Sometimes the muscles themselves can suffer trauma that makes them weaker.

Time is important. It could take up to 6 months or more for it to come back. The longer it takes, the greater the possibility of weakness in the nerve and muscle. I'm confident that it will come back though. Your body does amazing things. I would avoid steroids for this and I would eat a well balanced diet to insure that the nerves get nutrition to regenerate.

 

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