Lasting Solution for Droopy Eyebrows?

My eyebrow tails are exceedingly droopy. I've tried a forehead lift, the so-called "Russian threads", and mini lifts. The results, while excellent, have lasted for mere days! Is there a more lasting solution to this problem?

Doctor Answers 28

Treatment for the eyes and forehead - A Three Part Editorial

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hi there,
I recently wrote a three part editorial series on Forehead lifting as well as eyebrow procedures. I discuss in great detail how this works.Everything from the physiology, the anatomy to treatments. I think rather than repeat myself, you can check out the link below. I am sure you will find it helpful.

Dr James P. Bonaparte
Facial Cosmetic and Reconstructive Surgery
Head and Neck Surgery
Ottawa, Ontario, Canada

Ottawa Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Brow lift procedures in Los Angeles

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
An endoscopic brow lift can help achieve a higher eyebrow arch. This is a common procedure performed by plastic surgeons. 


DR. Karamanoukian 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Lasting Solution For Browlift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A longer lasting solution to browlift can be achieved with either a full endoscopic browlift with total release of the brow periosteum and fixation or an open approach. Both of these techniques can improve the appearance of the brow and last longer than a temporary approach utilizing threads, which do not release the brow area.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 177 reviews

You might also like...

Brow Lift is a Lasting Solution for Droopy Eyebrows

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The forehead lift and brow lift proceduresare designed for women or men who desire a more youthful and rested appearance through a surgical procedure; this is accomplished by surgically lifting the forehead, eyebrows and skin around the eyes.  Candidates also have drooping eyebrows or “hooding” of the upper eyelids.  Additionally, this procedure can correct deep furrows at the top of the nose (glabellar frown lines) through a removal or weakening of the specific fine muscles between your eyebrows. These creases often give a serious, upset or angry appearance and softening or minimizing them corrects this false image.  The results of this operation can be very dramatic.

Open forehead lifts are very long-lasting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Although the longevity of endoscopic forehead lifts is not predictable, open brow lifts (whether hairline or coronal), if properly performed, have a longevity that exceeds that of most facial cosmetic procedures.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Brow lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The problem with the "lifts" that you mentioned is that they rely on either a suture or skin to hold the brow in place which will ultimately fail.  I use up to 5 different techniques to lift the brow, depending on what the shape of the patient's brow is and what their goal is.  Make sure you see a board - certified plastic surgeon.

Samer W. Cabbabe, M.D.

Board - Certified Plastic Surgeon

Saint Louis Plastic Surgery Consultants


Samer W. Cabbabe, MD, FACS
Saint Louis Plastic Surgeon

Browlift: Forget the Gimmicks and Think About Real Solutions

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The infamous thread lift was possible one of the worst ways to consider brow rejuvenation; not even a "nice idea".  Thankfully, it now sits in the wastebasket of cosmetic surgical gimmickry (don't worry, there's more to come.....).  An endoscopic or Trichophytic Browlift, if performed by a reputable Facial Plastic Surgeon, should be a very enduring procedure.  As a general rule of thumb, when a cosmetic procedure is heavily marketed with tags like "zero downtime", taking "about an hour", with "instant results", the "too good to be true" concept should spring to mind.  Unfortunately, with the proliferation of interest in cosmetic procedures that has occurred over the last 10 years, there has been a tremendous decline in the ethical standard of advertising that consumers have not been protected from.  Hopefully, this will change.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Options for Droopy Brow Tails

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In general, any well-executed browlift should last years. I would not consider the Russian Threads or any other non-incisional approach worthwhile.

That being said, with many browlifts, especially subcutaneous trichophytic lifts or endoscopic browlifts, the central brow can stay high while the lateral brow relaxes with time, resulting in a quizzical expression.

The key to a good temporal browlift is surgeon experience - the tail of the brow is much more difficult to control than the head, and it takes skill to keep it high and create a beautiful brow arch that lasts.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 230 reviews

Droopy tail of eyebrows after forehead lift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This is a common problem when the lateral brow is not fully released especially if they are very tight and adherent.

With endoscopic forehead lift, the dissection should involve release of these tight tissues at the lateral eyebrow area to make sure the lateral brow is lift during the operation. Occasionally, a subcutaneous dissection is needed to assure adequate lift. If you are happy with the rest of the surgery, then you may consider having a subcutaneous lift of the lateral brow from hair line or direct lateral brow excision.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

A Coronal brow lift if done correctly should give you the results you are looking for and they should be very long lasting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

If your brow lift lasted only a few days, it probably was not done correctly. With an open brow lift either in front of the hair line or behind the hair line, the surgeon is able to remove the small muscles between your eye brows which give you those deep wrinkles between your eye brows and pull your medial eye brows down. It also gives your surgeon an opportunity to elevate your lateral brow by lifting the lateral brow with the under lying tissues which is very long lasting. I would recommend you seek a second opinion from a board certified plastic surgeon. 

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 17 reviews

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.