Can Botox Fix Too High Eyebrows After Brow Lift?
- Asked by jenfromzen in Port Washington, NY
- 3 years ago
I have long face so one of the things I did was to lower my hairline with brow lift. I still don't have a small forehead, but eventually plan to transplant some hair another cm or 2 over the scar line.
Anyway, I think the slightly higher brow is unnatural. I see a models/actresses with low sexy brows. I want brows like Angelina Jolie, have them start low, go on a sharp slant to a point like a bat wing. I don't want to look surprised any more, want that brooding pensive look. Anyone to see in metro NY?
High eyebrows and Botox
After a brow lift, you will be tighter for a while. You didn't mention when the surgery was done; if the brow lift was less than a few months ago, there will be continued stretching of the skin and the eyebrows will drop more. Regardless, the use of Botox could be an excellent temporizing measure until the brow recedes further. Angulated narrow faces can be made less long by widening, in a subtle fashion, the horizontal component by the use of volumizers / fillers. Temples, cheeks and jawlines can be filled, in an off-label fashion, with natural-appearing results, but this must be repeated as they do disappear after a while, ranging from six months to a year, and up to a couple of years depending on the filler or volumizer.
Hairline lowering with a forehead lift is a bill of goods.
Let's be frank here. With few exceptions, the notion that it is possible to make a cut along the hairline, remove forehead skin to lower the hairline, and leave the hairline scar invisible is a myth. Unfortunately the most adherent believers of this myth are the surgeons who are still messing up hairlines with this procedure. Even if the incision heals perfectly it causes unnatural compression along the hairline. You should know that hairgrafting is a pure art form. Men will travel across the country to find the right hairgafter. Don't assume that the person doing hair down the street can actually create a natural hairline!
Can BOTOX lower the eyebrows? Yes. The bigger challange is to do this without causing the forehead to fall like a stone. A careful assessment by a skilled clinician is needed.
Web reference: http://www.lidlift.com
Hyperelevation of brows after browlift
We now usually perform browlifts in a hair-sparing fashion and try to elevate the lateral brows more than the central brow area. I believe that our old paradigms of brow elevation are antiquated, as evidenced by a generation of beautiful brooding vampires, many of whom do not have "typical brow aesthetics".
More often, we are augmenting the volume of the brow, to avoid the bony forehead look, particularly if the brow has been elevated into the bony region of the forehead above the orbital rim.. We prefer autologous fat fascial grafts, untraumatized, for this purpose.
Many patients with your problem opt for a reverse browlift. This procedure involves dividing the deep layer that is over elevating the brow. It gives a permanent fix to the problem for patients who don't care for the necessity of repeated Botox injections.
Below is a chapter on browlifts in the textbook Mathes that addresses this question as well should you decide to read it.
Web reference: http://drbrent.com/Articles/mathesbook.html
Brows, BOTOX, and Brooding
You certainly can try BOTOX for the effect you seek: BOTOX can work to help shape the brows and adjust asymmetry.
Careful: wanting to achieve a very specific look may be a bit over-reaching. Be sure you get some good pragmatic advice about your goals.
Botox can harmonize the face
If there is an asymmetric eyebrow position, an experienced physican can harmonize your face with a botox treatment.
Lowering high brow
Lowering Hairline with REVERSE Forehead Lift raised Eyebrows too Much...
Entire volumes can be written on the family of Brow (Forehead) Lift procedures and how they have evolved since the early 1990's. Your situation highlights one of the problems with this operation - the choice of procedure (and its unwanted side effects) must be carefully matched to the patient's anatomy and aesthetic desires.
A REVERSE forehead (Brow) Lift places the incision in the hairline and pulls the scalp forward to narrow the width of the hair free forehead with some lifting of the brow. It should be used only in high foreheads and is used mostly in Men with receding hairlines.
One of the inherent problems with ALL forehead lifts is FIXATION - despite a LOT of different innovations we have yet to find a reliable way to keep the tissues fixed where we left them - they always sag. This will happen in your case as well and you will be able to see the effect in 6-10 months after surgery.
While Botox WILL drop the brows (by weakening the Frontalis muscle which lifts the brows), the effect is often a more masculine, flattened brow arch that appears tired and sometimes just plain weird. (Read my web page on Bad Botox below). In my opinion a high forehead with flat or dog leg brows looks weird and I would strongly advise you not to do it.
Personally, I think you are a pretty lady and I would advise you to leave things alone. Please, remember - you can ALWAYS end up looking worse. In the words of VOLTAIRE (quoted by surgeons everywhere :"Better is the enemy of Good".
Dr. P. Aldea
Look At The Whole Face
You are looking at only your eyebrows. Your concern about a long face is valid but you need to balance it out by rounding your chin a little bit. It can be done with Sculptra injections in the area between the chin and the jowls. That will make your face look more balance and not long.
For your eyebrows, Botox can bring them down easily.
Web reference: http://www.facialplastics.net
Botox can change brow position
Depending upon the look you are trying to achieve, botox injections can raise or lower your brow position. That being said you should wait at least six months from your surgical procedure since the brows will naturally descend some. Also, I would look for an experienced injector to help you achieve the look you desire. I hope this information helps.
Yes, but why?
Yes, Botox can certainly drop the brow, but I agree with Dr. Beraka that you are very pretty and I don't see anything wrong with your eyebrows. Best to keep your own beauty rather than emulate what you perceive in someone else.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.