One brow not moving 1 month after Brow Lift

My surgeon says to wait, and the movement will return. What could have happened?

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15 answers to “One brow not moving 1 month after...”

A: It takes time, but almost always the nerves start working just fine.

David Shafer, MD

Humbird, During brow lift, the nerves are stretched as the skin is pulled. This leads to a transient neuropraxia (weakened nerves) which may occur on both sides or only one side. It is impossible to predict who this will happen to prior to surgery. The good news is that almost always the nerves start... more

A: This should get better

Andrew Campbell, MD

Temporary weakness of the forehead muscles after a browlift is not uncommon. There are several possible causes. The nerve that causes movement of the brow runs very close to a vein that frequently needs to be cauterized. This can cause some heat transfer to the nerve that may prevent it from working properly... more

A: Correction of weakened brow movement after browlift varies on surgery performed

Otto Joseph Placik, MD

This can be caused by mechanical intereference with the muscle or nerve. You did not specify the type of procedure Generally recovery of nerve function is to be expected in most cases of brow lift but it depends on the technique Transblepharoplasty brow lift (through the eyelid) Direct brow lift (excising... more

A: This can be a common occurance after brow lift surgery

Philip Young, MD

The nerves that innervate your eyebrow are very sensitive to pressure and stretching which can make them weaker for a time after a browlift. This happens to a lot of surgeons. Sometimes the muscles themselves can suffer trauma that makes them weaker. Time is important. It could take up to 6 months or more... more

A: Frontal branch injury typically temporary following Brow Lift

David M. Mills, MD

The dissection and movement of the tissues required to elevate the forehead and eyebrows during endocopic brow lift surgery can cause dysfunction of the frontal branch of the facial nerve, which innervates the frontalis muscle. This would lead to decreased function of this muscle.   Fortunately,... more

A: Don't Panic - Consider Botox

Athleo Louis Cambre, MD

During the course of a Brow Lift, whether open or endoscopic, there may be stretching of the Frontal Branch of the Facial Nerve, which supplies movement to the forehead muscles. In many cases, this results in a partial or total paralysis of the forehead muscles, either on one or both sides of the forehead,... more

A: Tincture of time

Robin T.W. Yuan, MD

Most neuropraxias of the frontal branch of the facial nerve that controls elevation of the brow are temporary in nature and more recover after a few days. Some last longer and may take up to six months depending on the type of injury (i.e. bruise, stretch, cauterization,crush). As suggested, you can use Botox... more

A: Keep the faith

Kenneth R. Francis, MD

Nerve bruising and/or stretching may occur during a brow lift operation.  This may temporarily injure the nerve that causes your brow to move.  In the overwhelming majority of patients the nerve function returns to normal, but the recovery may take six months.  Have patience, trust in your... more

A: Relax!

Robert M. Freund, MD

Brow lifts pull on the tissues of the forehead. The trauma of surgery plus the pulling can cause temporary injury to the nerve that moves your eyebrows. Your nerve injury should resolve within 6 months of the time of surgery.

A: Usually recover function of this nerve

Jeffrey Zwiren, MD

The nerve that innervates the forehead is the frontal branch of the facial nerve.  It travels in front of the ear across the arch of the cheek bone and then approximately 2 cm above the lateral (outside) portion of the eyebrow.  The object of any brow lift is to correct brow sagging without injury to... more

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