Can Dermal Fillers Create a 'Browlift' Effect??

I'm not intested in Botox...too many terrible experiences with it!!! I would like a slight browlift on my lateral brows to get rid of some of the excess lid skin..browlift surgery recommended for my case. Can fillers simulate a browlift? If so, how does this, what area is it injected, what filler would be used, ? I don't have a lot of forehead wrinkling (yet), just want to open my eyes a little. Also, if filler is still there when I finally want surgery, will it be in the way?

Doctor Answers 16

Browlift Effect Possible with Fillers and Botox-But Find an Expert

Dermal Fillers plus Botox or Dysport to relax the upper Obicularis or Eyelid muscle can create a small Brow Lift Effect.

However please take the time to search for an experienced Board Certified Plastic Surgeon who has experience with this technique.

I have had patients show up in my office with visible lumps of filler under their eyebrow after having this done by a novice doctor.

Brow lift, dermal fillers, subsequent surgery

Thank you for your question.

Dermal fillers can be used for peri-orbital rejuvenation and eyebrow lift.

Ideally Botulo-toxin ( to re balance muscle action to allow eyebrow being pulled up) and dermal filler ( will give ancoring effect to the eyebrow and change volume proportions to give appearance of higher eyebrows)used together will give the best result.

If you certain that to choose only dermal fillers then fillers like Radiesse, Laresse or Restylane SubQ are probably the best to be place at the lateral portion of the eyebrow's course to give that ancoring effect and to emphasize that part of the eyebrow. These fillers are more stable and can hold on longer.

Small deposits of finner dermal fillers like Restylane, Juvederm, Teosyal can be carefully placed to the upper orbital rim to increase slightly volume of the supra orbital space.

Subsequent surgery will be not a problem if you used Dermal fillers in the area -as they are not permanent. I would advised to consider endoscopic brow lift or lift with Silhouette threads.

Dermal Fillers for a Browlift

To an extent, dermal fillers can create a lateral browlift effect.  Make up artists often use white eye shadow just below the lateral eyebrow to create the illusion of an elevated brown (for example, in front of a TV camera).  We take advantage of this "trick" using fillers.

- A little bit of filler strategically placed uner the lateral eyebrow itself can pick up the elevate slack just a bit, which can result in an elevation of the lateral eyebrow (1-3 mm).

- When this is combined with a small amount of strategically placed Botox, the combination of the two can be even better

- Furthermore, if a laser is used as in the case of DOT Therapy to "shrink" the skin between the brow and eyelid, this can further enhance the browlift effect.

Deborah Sarnoff, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Can Dermal Fillers Create a 'Browlift' Effect??

Fillers like Perlane can be placed along the superior orbital rim to increase the volume in that area.  the increased volume tends to lift the eyebrows slightly.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 14 reviews

Eyebrow lift with dermal fillers and Botox Cosmetic

You mention in the text of your question that you are not interested in Botox as a way to lift the eyebrows, however, the best effect with a nonsurgical eyebrow lift procedure would be with a combination of fillers and Botox.  I would suggest that you consult with a board-certified cosmetic dermatologist or plastic surgeon with proper training and experience in injectables and eyebrow rejuvenation.  Many horror stories that one hears comes from the fact that injections are performed by poorly trained or even non-medical personnel.

One of the things that happens as we mature is there is volume loss in the soft tissues, fat and bone of the face.  So essentially the scaffolding on which the skin is suspended gets smaller, resulting in sagging. For the lateral brows, it's the loss of that small "Faberge egg," the oval-shaped amount of soft tissue and bone that sits under the lateral tail of the eyebrow that makes the brow descend.

Dermal fillers like Restylane, Perlane, Juvederm, Radiesse and Sculptra can be injected to recreate that "Faberge egg" and give lift to the lateral brow.

Botox Cosmetic can work in conjunction with the filler to add lift to the entire brow.  Injecting Botox into the muscles that pull the eyebrow down (procerus, corrugators and orbicularis oculi) will allow the frontalis, large forehead muscle to pull the brows up.

Both of these will help achieve the non-surgical eyebrow lift.  For severe sagging (which doesn't sound like what you are describing) a surgical brow lift would be needed.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Fillers can simulate a browlift

In some situations, dermal fillers such as Restylane, Juvaderm, or Radiesse can be used to give the appearance of a browlift. This is done by injecting fillers along the brow bone, This will make the brow bone slightly more prominent and will give your borw a "ledge" to rest on. This can give you a few millimeters of lift and in some cases, this is all that you require. make sure your plastic surgeon is familiar with this technique because fillers last a long time in this area and if the results are not good, you may have to live with it for a year.  Also, if you need significant elevation of your brow, only a surgical browlift will be appropriate.

Dermal fillers for brow lift

You can use dermal fillers to help create a brow lift.  It does require special training, so I would make sure that you go a physician with a great deal of experience.

Brow Lift with Botox & Fillers

Thank you for the great question. It is unfortunate that you had a bad experience with Botox for brow lift. In the hands of an experienced oculoplastic surgeon, the combination of Botox with injection of fillers yields excellent results. The filler can be placed directly above the brows to lift them. For some patients, additional injections in the temple hollows are appropriate and also elevate the brows. All the best.

Brow Lift

A non-surgical brow lift can be done with Botox or Dysport.  Combining those injections with a filler such as Restylane will lead to a natural looking result.  I would suggest you consult a board certified dermatologist with a great deal of injection experience for the best results.

Browlift without surgery or Botox

Fillers such as Juvederm and Restylane can augment the lateral brow to give a slight browlift.  Radio frequency has also been used off label to smooth this area.  Finally laser resurfacing to this area can tighten the skin a small amount.

Richard O. Gregory, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 6 reviews

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.