Hollowness Under Brows 1 Year After Brow Pexy. Could This Have Been Prevented? How To Correct? (photo)

Question

I had a brow pexy over a year ago. I now have very hollow areas directly under my brows. What could have been done to prevent this. How can it be permanently fixed? I am a 52 year old female.

Jed H. Horowitz, MD, FACS · Answer

hollowness underbrow after browpexy:

	
		fillers are probably best at this time
	
		juvederm, restylane are simple and good for a trial
	
		fat can be more permanent

Peter Lee, MD, FACS · Answer

Unfortunately, you do not say what technique was used for your "brow pexy".  It is possible that some of these procedures may accentuate certain defects that were present preoperatively, or, alternatively, cause a degree of atrophy of the soft tissues in some areas, depending on the techniques employed. At this juncture, you would be best served by undergoing fat transfer to the affected area.

	In general, it is advisable for the surgeon performing this procedure to "over-correct" this area, anticipating that not all of the transferred fat will survive. It is also important for you to know that complete correction and contouring of this area may require more than a single fat transfer procedure, but in the hands of a surgeon experienced with fat grafting techniques, the likelihood of your ultimately attaining a satsifactory result is good.

George Marosan, MD · Answer

Thank you for the photos. This is a small area of depression, but quite obvious. It is easily corrected with micro fat graft injections to get a permanent or long lasting result.This can be done under local anesthesia with no down time. Talk to your surgeon about this. Good luck.

Miguel Delgado, MD · Answer

This is a slight in the bone in this area in my opinion.  Nothing is removed in the location with a brow lift  unless something else was performed with the the procedure that you had.  This area can be easily filled with fat injections or more temporary products to see if you like the result.

Evan H. Black, MD · Answer

It looks like some fat may have been removed or the "brow pexy" technique caused some atrophy (shrinkage) of the sub brow fat. Your best options would be a long lasting filler or a fat injection. Neither of these is likely to be permanent, but should offer significant improvement with minimal downtime or hassle.

Hollowness Under Brows 1 Year After Brow Pexy. Could This Have Been Prevented? How To Correct? (photo)

Answers (9)

Answer: Brow Hollow

Answer: Brow Hollow

Answer: Filler or Fat

Answer: Filler or Fat

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

Hollowness Under Brows 1 Year After Brow Pexy. Could This Have Been Prevented? How To Correct? (photo)

Answers (9)

Answer: Brow Hollow

Answer: Brow Hollow

Answer: Filler or Fat

Answer: Filler or Fat

Browse related questions

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.