Brow fat removal? (Photo)

Question

Hello. I Am curious if doctors will remove fat from a brow instead of a brow lift in some circumstances. I have had a upper bleph, canthoplasty and a couple of upper eyelid revisions. It seems like the brow has dropped a bit after the procedures. It looks like there is brow fat that is causing one brow to appear as if it is weighing on the lid. Could brow fat removal fix this or should I opt for a brow lift? I've included a before and after photo. Thanks.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the question. From the photographs it looks like your brows are elevated following the blepharoplasty. There is slight asymmetry and some fullness to your brows, but it appears that surgery is not warranted at this time. One option is Botox injections to raise the brow. I hope you find this helpful.

Jeffrey H. Spiegel, MD · Answer

Sean36,There are a number of possibilities.  Sometimes there is some tissue that can be reduced in size. Othertimes, botox or even fat placement is the answer.  Sometimes I've even adjusted the bone in the area.The pictures are helpful but don't tell the whole story.   Can you come see someone?  You'll benefit from doing that.Best of luck!

William Portuese, MD · Answer

A brow lift can accomplish raising the eyebrows. The hairline needs to be considered as well. The corrugator and frontalis muscles of the forehead can also be softened and adjusted at the same time. For many examples, please see the link below

Ana Carolina Victoria, MD - Account Suspended · Answer

Thank you for submitting your pictures. It seems you have moderate to severe brow ptosis (droop), which needs to be surgically repaired. Your brows are anatomically supposed to have fatty tissue to them, and in your case, i dont think that removing any brow fat will fix the real problem which is the malposition of the brows themselves. There are several ways to surgically raise the brows including a direct brow lift, coronal, endoscopic and with a small implant placed through an upper eyelid incision. Consult with your surgeon to see what the best approach is for you.

Brow fat removal? (Photo)

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