I'm 48 yrs., with having had minimal sun bathing exposure.. no visible damage to forehead skin, yet I've notice a slight drop of my BROW area. Nature is so CRUEL. I don't deserve this; never drank alcohol. I've had my eye lids cut 4 times, removal of excess skin, (which wasn't really bad); just trying to achieve a more open look to my "deep set" eyes. Hate the thought of brow lift..too INVASIVE. Now I'm understanding that Botox relaxes this area even more, having ADVERSE affect. Too bad no invention to inject into musclse something to STIFFEN / or expand.
Non-surgical Ways to Help Sagging Brow Area?
Doctor Answers (17)
Ways to create non-surgical brow lift
Here are some ways to enhance results:
Non-surgical Options: quick, simple, effective, natural, minimal down-time
* micro-tattoo: enhances the brow hair
* eyelash enhancers: Latisse to help to thicken the brow hairs
* Botox lifts the brow by relaxing the muscles which depress the brow, thereby allowing the elevator muscles to work more freely. Consequently, brows can be elevated.
* fillers: Juvederm, Restylane, and especially Perlane and Restylane give instant brow lifting and work well after the area has been botoxed. Sculptra can also be used nicely as well
Micro-surgical Options: quick, simple, effective, with some down time
* fat grafting as filler: fat can be used to reshape and thicken the brow, improve upper lid concavity, and the skin quality as well in the temple areas.
* barbed sutures: dramatic but very temporary lifting result
Surgical Options: more dramatic, longer lasting, with some down time required
* upper Blepharoplasty with internal brow lift: technique used to "push" up the brow with suture fixation and simultaneous partial removal of the muscles responsible for depressing the brows, thereby "lifting" up the brows.
* direct brow lift: better for lateral brow lifting only
* mid-forehead lift: for forehead with multiple creases, especially in men with high forehead
* forehead lift, endoscopic: for medial and central brow lifting
* lateral or temporal brow lift: for lateral brow lifting; can be combined with endoscopic brow lifting
Non- Surgical Browlift
Botox is used to contour the brow by injecting into the muscles that normally pull down the brow. Although easily performed, the improvement will last only 3-4 months. After 4 eyelid surgeries, make sure there is adequate skin in the upper eyelids to properly close the eyes after lifting the brows.
Slight elevation of eyebrows possible with Botox
You are correct in that Botox relaxes muscles. However a skilled injector can take advantage of this. Think of the eyebrow position as a game of tug of war. Your frontalis muscle pulls the eyebrow up and the orbicularis pulls it down. By precisely weakening the orbicularis, the frontalis wins the tug of war and the brow goes up. The results are subtle but very nice. If you only need a slight elevation this is a great solution.
While a brow lift is considered "invasive", patients tolerate the downtime, which is minimal, very well.
Would you be willing to post some photos? This would be really helpful for the participating surgeons to give some advice on what may be going on with your eyes following multiple eyelid surgeries.
You might also like...
Botox can often simulate a surgical browlift
Botox has been used for years to smooth upper facial lines. It can also be used to lift and shape drooping eyebrows. By relaxing the muscles that pull the eyebrows down (this can be demonstrated by winking) the eyebrows can be raised up. To achieve a natural shape, the center of the brow, near the nose, can also be raised or lowered to enhance the shape.
Surgical and nonsurgical browlift
There are two ways to elevate the brows. One is with Botox. This requires someone who understands the anatomy of the eyebrow area and the proper use of Botox. Unfortunately, not everyone injecting Botox meets these criteria. If it is put in the wrong place, it can cause descent of the brow. Perhaps this is where your “understanding” comes from.
The more permanent solution is a browlift. Although this used to be an “invasive” procedure, it is now much less so. I do these almost exclusively through small incisions using an endoscope. Most of my patients are back to normal activities in 24-48 hours and have less recovery than my blepharoplasty patients.
Non-surgical Brow Lift
4 eyelid operations is a LOT of surgery. This would explain your "deep set eyes" - excessive eyelid fat removal combined with natural aging results in the eyeballs literally sinking deeper into the eye socket.
Botox is a GREAT way to non-surgically lift the eye brows. By understanding facial anatomy, a skilled doctor can selectively weaken the muscles responsible for pulling the brows lower. This results in an easier automatic lifting of the brows by the frontalis muscle.
Botox produces chemical brow lift.
Perhaps you don't understand how Botox works. About twenty five units of Botox, skillfully injected, can achieve a subtle but very real lift of your eyebrows.
One reason your brows are lower may be because of the upper eyelid surgeries you have had: the more skin you cut between the upper eyelid lashes and brow, will bring the brow lower. Another reason for brow lowering is deflation of the brow from age-related volume/fat loss from the brow. By replacing the lost volume (fat, fillers), the brows can be elevated. Botox can elevate the brows too.
You can also use your own fat to add volume in the upper eyelid to decrease the hollow appearance.
Since you have had surgery in the past what is holding you back from just elevating the brow?
Best of luk
A. Dean Jabs MD, PhD
Board Certified Plastic Surgeon
Bethesda, MD/McLean, VA
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.