No skin laxity - am I not able to get a surgical lift?

It’s possible for someone to experience heaviness in the brow or lids without enough skin laxity to justify a surgical lift. Skin laxity, or the looseness of the skin, is a key factor surgeons assess when determining if a lift procedure can achieve the desired results. When there isn’t enough laxity, a surgical lift may not create the dramatic effect one expects, as it relies on the skin’s ability to stretch and reposition. While face tape offers a temporary “lift” by pulling the skin taut, it doesn't replicate the underlying structural adjustments made in surgery. Surgical lifts also focus on the deeper tissues and muscles rather than just the skin surface, creating limitations in mimicking the effects of face tape. For individuals with minimal laxity but concerns about a heavy brow or lids, non-surgical options like neuromodulators, dermal fillers, or skin-tightening treatments might provide subtle improvements.

Poor skin elasticity does NOT prevent someone from having an Irregular Trichophytic Browlift! This is based on the More than 5000 of these I have done since inventing this procedure. Make sure you see the actual Hairline with the hair pulled back that the surgeon shows you.

Unfortunately, you have not provided photographs. However, you do not need a lot of skin laxity to do a brow lift.

Best Wishes,

Gary Horndeski, M.D.

It is very difficult to address this questions without any information about your problem. In general, forehead soft tissues are a composition of different layers which move between each other and also together. Effect that you can achieve with tape or fingers by pulling forehead up may not always be achieved with surgery in particular if fixation point is too high (in the hairline or close to it). A direct brow lift where fixation point or skin excision is within proximity of eyebrow is more efficient in that regard but has some other limitations. Hope this helps.