I am a 54-year-old woman, and my left brow droops relative to my right brow (this has become more marked with age). What is the most effective way to raise the drooping eybrow and achieve symmetry?
Best Way to Raise Drooping Eyebrow and Achieve Symmetry?
Doctor Answers 3
Best way to raise drooping eyebrow and achieve symmetry?
There is NO one "Best Way" to do much of anything in Plastic Surgery. In Plastic surgery we need to first negotiate a sea of "Specifics" (applicable ONLY to you, , cross another forest of "What if's" to eliminate many of the option before we come to THE compromise best suited to the specific cards you bring to the table.
Brow (Forehead) Lifts can be done to some extent chemically with Botox / Dysport by weakening the muscles that pull the brows down OR it can be done via various incisions to lift the brows.
A few generalities; The CLOSER the brow lift incision comes to the brow(s)
- the less symmetrical the brow lift result will be (compared to the other side)
- the higher the visibility of the scar
- The higher the likelihood of forehead and anterior scalp numbness
- The less the distortion and pulling back of the hairline (with a few exceptions)
- the more the bow lift and distortion of the arch of the brow can be
There are MANY different styles of brow lifts and ALL have their benefits and unwanted results. On the while, because of your asymmetry you may well benefit from an ENDOTINE Lift . You may read on it here http://www.coaptsystems.com/products/products_endotine.html
Peter a Aldea, MD
Different options for single sided brow lift (uneven or asymmetric eyebrows)
Ask 3 different plastic surgeons and you will probably get 3 different answers.
There are many options and there is no best answer until your exam is completed and the details of your particular situation have been reviewed.
Brow lifts can be performed in a variety of different ways depending on the condition.
- Chemodenervation brow lift (Botox)
- Transblepharoplasty brow lift (Through the upper eyelid)
- Direct brow lift (incision immediately above eyebrow)
- Mid forehead (incision in well defined forehead crease)
- Pretrichal forehead lift ( in front of hairline)
- Temporal brow lift (Incision placed in scalp near temple)
- Endoscopic brow lift (limited scalp incisions with scope visualization)
- Unicoronal brow lift (far back in hairline)
Dissection may be:
- Mixture of above
Although the answer is a brow lift, there may be a dynamic component that makes your situation more complex. The brow position is related to eyelid anatomy, function, and habits. As one ages, it is common to use the frontalis muscle to keep the eyes open and thus have an artificially raised brow. In this situation, it is the eyelid that is the problem and the brow position is a secondary effect. However, this is also a habit that might be difficult to overcome if your muscles are used to a certain tone. It might be hard for the frontalis muscle to relax normally even if you correct the eyelids and you might still end up with asymmetry. Consut with an experienced who will explain the dynamics of your situation.
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.