What would be a suitable next step forward for my eyebrows? (Photo)

Question

I am 20 years of age. I have had Bell's palsy ever since I was 1.5 years old so I have been dealing with this for 19 years. My left brow is paralysed and is also droopy. I have tried all sorts of botox in my brows for the past 5 years to lift it as much as possible as I do not like the placement and it does not move. The NHS doctor said he does not want to lift it as he will have to lift both brows and will not do the unaffected brow. What can I do going forward? Am I a suitable candidate?

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your exact situation.

For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Gary M. Horndeski, MD · Answer

Your eyebrows are too low on your forehead and they are not arched.  You would benefit from a bilateral browlift.

Best Wishes,

Gary Horndeski, M.D.

What would be a suitable next step forward for my eyebrows? (Photo)

Answers (2)