Can the area under the eyebrow close to nose be filled in using Juvederm? As I get older my eyes are starting to take on a "mean" look and my eyebrows are getting "lower." I'm only 25, so my problem is minor and I was hoping this can be addressed by fillers (I'm also getting the tear troughs filled in a little to "freshen up" my eyes). I'm still 100% wrinkle-free and my skin is in good condition otherwise. Below is a picture showing the areas which seems to have depressed over time.
Juvederm for Lifting Eyebrows?
Doctor Answers 3
Juvederm is not a good eyebrow lifter
Juvederm, like other hyaluronic acid fillers, is used to fill in hollows or depressions like the tear-troughs or nasolabial folds. It can also be used to fill in hollowing of the upper eyelid. However, if you place Juvederm to gain an eyebrow lift without any volume loss in that area already...then you likely will end up with a lump under the eyebrow and no significant lifting effect. A browlift, which I would NOT recommend for you based on this picture, is the only reliable method to elevate the brow and that does not work as well for the eyebrow near the nose (medial) than it does for the eyebrow near the corner of the eye (lateral).
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Botox may help medial brow position
Based on your photo, your brows have a pleasing shape and position, so I don't think a surgical browlift is appropriate. Likewise, Juvederm would not provide any useful benefit.
If you don't like the position of your medial brows, even if you dont have any wrinkles, Botox may be helpful. By blocking the tone that is always in the corrugator muscles in that area, Botox can lift and separate the medial eyebrows to produce the pleasing effect you may be seeking.
Neuromodulators (Botox, Dysport, & Xeomin) Can Work Well For Medial Brow Lifts
In my practice I have had quite a few patients in my twenty three year experience with Botox and later with other neuromodulators who have complained of a downward positioning of the medial (inner side toward the nasal bridge) portion of the brow and who have responded quite well to a small amount of neuromodulator injected into the medial side of the brow to slighten weaken the muscles responsible for the downward pull and to give a competitive advantage to the upwardly pulling forehead muscle--leading to the desired lift. Consultation with a board certified core aesthetic physician with extensive experience with injecting neuromodulators is crucial.