Can I lift the end of my brow with filler? My brow drops at the outer part. (Photos)

Question

I have nice shaped eyes however my brow drops at the outer part. Would I be able to lift this with filler?

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

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Yes, injectables can provide a small lift, but a surgical procedure is permanent. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

Gregory S. Keller, MD, FACS · Answer

while not as effective as surgery, fillers can lift the tail of the brow. The filler is placed properly into the end of the brow and tapered toward the head. This adds volume to the brow and “ picks it up”. How the filler is placed determines what portion of the brow is lifted. Another way to lift the brow without surgery is Ulthera.

Nelson Lee Novick, MD · Answer

From your photos, it does appear that you can profit from a nonsurgical browlift using a volumizing filler to restore the upward, outward flare of the outer third of the eyebrow that is considered the ideal for the feminine brow. The technique is by no means new. I personally have been performing them for about fifteen years. Volumizing Filler place immediately above and below the outer third of the brow can provide the lift and support necessary to raise the outer third of the eyebrow above the level of the orbital rim, which is a very feminine brow characteristic. For additional benefit, if necessary, three microdroplets may be placed under the tail of the eyebrow to provide further lift. And, should it be necessary, still additional lift can be achieved by the appropriate placement of a couple of boluses of volumizing filler in the hairline area. Make sure that you consult with a board certified aesthetic physician and ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.

John J. Martin, Jr., MD · Answer

Filler can help to lift the outer brow.  An easier way is a little Botox to the area. This usually gives a nice lift to the outer brow.

Patrick Flaharty, MD FAACS · Answer

You can achieve a small lift to the outer brow with fillers and Botox. Fillers can add volume lifting the eyebrow. Botox weakens the brow depressors (muscles that lower your eyebrow) thereby lifting the outer brow a small amount. These are both very common and effective treatments but you need to consult with a physician experienced in these techniques.

Damon B. Chandler, MD · Answer

Filler is unlikely to help this condition -- certainly not in the same way as you are pulling with your finger in the photos. If you want something to resemble that result, carefully placed neuromodulator like Botox or Xeomin can help slightly lift the lateral brow -- enough that you may be satisfied. You will need to return for treatment 4x/year. An endoscopic brow lift may also help you. Filler does not "pull" the eyebrow up like your finger. Please see an expert in Botox/Xeomin in addition to eyebrow lifting surgery if you want a proper opinion. Best wishes.Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

Lynn D. Derby, MD (retired) · Answer

It is often effective to inject Botox so that it relaxes the muscle that pulls the lateral eyebrow down (the orbicularis oculi muscle), so that the muscle that pulls the brow up (the frontalis muscle) works unopposed.  I would have to see your facial expressions in motion to determine whether it is likely to work for you, but in many people it can elevate the lateral brow 3-5 mm.  Personally, I can tell when my Botox is wearing off because I see my brows beginning to lower.

Can I lift the end of my brow with filler? My brow drops at the outer part. (Photos)

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