My eyebrow tails are exceedingly droopy. I've tried a forehead lift, the so-called "Russian threads", and mini lifts. The results, while excellent, have lasted for mere days! Is there a more lasting solution to this problem?
Lasting Solution for Droopy Eyebrows?
Doctor Answers (26)
Lasting Solution For Browlift
A longer lasting solution to browlift can be achieved with either a full endoscopic browlift with total release of the brow periosteum and fixation or an open approach. Both of these techniques can improve the appearance of the brow and last longer than a temporary approach utilizing threads, which do not release the brow area.
Brow Lift is a Lasting Solution for Droopy Eyebrows
The forehead lift and brow lift proceduresare designed for women or men who desire a more youthful and rested appearance through a surgical procedure; this is accomplished by surgically lifting the forehead, eyebrows and skin around the eyes. Candidates also have drooping eyebrows or “hooding” of the upper eyelids. Additionally, this procedure can correct deep furrows at the top of the nose (glabellar frown lines) through a removal or weakening of the specific fine muscles between your eyebrows. These creases often give a serious, upset or angry appearance and softening or minimizing them corrects this false image. The results of this operation can be very dramatic.
Open forehead lifts are very long-lasting
Although the longevity of endoscopic forehead lifts is not predictable, open brow lifts (whether hairline or coronal), if properly performed, have a longevity that exceeds that of most facial cosmetic procedures.
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The problem with the "lifts" that you mentioned is that they rely on either a suture or skin to hold the brow in place which will ultimately fail. I use up to 5 different techniques to lift the brow, depending on what the shape of the patient's brow is and what their goal is. Make sure you see a board - certified plastic surgeon.
Samer W. Cabbabe, M.D.
Board - Certified Plastic Surgeon
Saint Louis Plastic Surgery Consultants
Browlift: Forget the Gimmicks and Think About Real Solutions
The infamous thread lift was possible one of the worst ways to consider brow rejuvenation; not even a "nice idea". Thankfully, it now sits in the wastebasket of cosmetic surgical gimmickry (don't worry, there's more to come.....). An endoscopic or Trichophytic Browlift, if performed by a reputable Facial Plastic Surgeon, should be a very enduring procedure. As a general rule of thumb, when a cosmetic procedure is heavily marketed with tags like "zero downtime", taking "about an hour", with "instant results", the "too good to be true" concept should spring to mind. Unfortunately, with the proliferation of interest in cosmetic procedures that has occurred over the last 10 years, there has been a tremendous decline in the ethical standard of advertising that consumers have not been protected from. Hopefully, this will change.
Options for Droopy Brow Tails
In general, any well-executed browlift should last years. I would not consider the Russian Threads or any other non-incisional approach worthwhile.
That being said, with many browlifts, especially subcutaneous trichophytic lifts or endoscopic browlifts, the central brow can stay high while the lateral brow relaxes with time, resulting in a quizzical expression.
The key to a good temporal browlift is surgeon experience - the tail of the brow is much more difficult to control than the head, and it takes skill to keep it high and create a beautiful brow arch that lasts.
Droopy tail of eyebrows after forehead lift
This is a common problem when the lateral brow is not fully released especially if they are very tight and adherent.
With endoscopic forehead lift, the dissection should involve release of these tight tissues at the lateral eyebrow area to make sure the lateral brow is lift during the operation. Occasionally, a subcutaneous dissection is needed to assure adequate lift. If you are happy with the rest of the surgery, then you may consider having a subcutaneous lift of the lateral brow from hair line or direct lateral brow excision.
A Coronal brow lift if done correctly should give you the results you are looking for and they should be very long lasting
If your brow lift lasted only a few days, it probably was not done correctly. With an open brow lift either in front of the hair line or behind the hair line, the surgeon is able to remove the small muscles between your eye brows which give you those deep wrinkles between your eye brows and pull your medial eye brows down. It also gives your surgeon an opportunity to elevate your lateral brow by lifting the lateral brow with the under lying tissues which is very long lasting. I would recommend you seek a second opinion from a board certified plastic surgeon.
Brow Lift for Drooping Brows
I would certainly talk with your facial plastic surgeon about your concerns. A well performed endoscopic or open brow lift is a lasting procedure which creates a more natural brow position for patients. From what you describe with several 'mini' procedures is typical - mini procedures often produce minimal results.
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.