Can I get a brow lift with filler?

Question

I have been wanting a brow lift for a few years now. I'm 30 years old and I knew I didn't need anything too dramatic so I tried Botox. The informed me on all my options. About three or four pokes later, per eye, around my crows feet and I was done. It's been over two weeks and I see no difference at all. The doctor told me if it didn't work I may need filler to lift the brows and I wanted some more feedback. Will I be able to move my brows? Does it look natural? Is this a common procedure?

Charles S. Lee, MD, FACS · Answer

Botox on the outside parts of the brow will neutralize the depressor portion of the eye muscle (orbicularis) and lift the outer brows. Botox on the inner corners will lift the medial parts of the brow.Fillers over the eye socket bone can reinflate this area and increase the distance from the lid margin to the brow, giving the illusion of a lift. It works better for older people who have  volume loss.Surgery works best for people who have low set brows naturally, or have brow descent from aging. Because the upper lid eyelid function

Toby Mayer, MD · Answer

You will not get fillers to give much of a Browlift! You can try Botox first and see if that gives you what you want. If not, a Browlift will give you as much lift as you want. See a very experienced Browlift surgeon who can show you many natural results without scars seen.

Jason Emer, MD · Answer

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. I suggest getting a formal consultation with a facial sculpting expert.

C. Blake Perry, MD · Answer

Difficult to say without photos. Botox can often give a chemical browlift by weakening the depressors of the brow. It sounds like you had your crowsfeet treated but not your glabella. Filler can add volume to the fat pad under the brow and give a lifted appearance in the right patient. Often an endoscopic browlift is the best option. It all depends on your degree of brow ptosis and goals of the procedure. I would recommend seeing a facial plastic surgeon in your area.

Kapil Saigal, MD, FACS · Answer

Botox is a good nonsurgical alternative to a brow lift by treating deep brow depressor muscle.  This results typically in a 1-2 mm elevation of the lateral aspect of the brow and is sometimes referred to as a Botox brow lift.  If this treatment does not adequately improve the symmetry, brow lifting is an option. Fillers may not be the most effective option for brow lifting in our experience. Be sure to discuss your case with the specialist and good luck.

Curtis Wong, MD · Answer

only produces a very subtle impacts like a mm or so.  If your brows are truly low, you need a browlift and there are many ways to accomplish this procedure so make sure you are informed of all so you can choose what is best for you.  I personally feel filler is a waste of time and money when trying to lift anything... it fills wrinkles and deficits but wasn't designed to be 'lifting'.

William Portuese, MD · Answer

Filler simply fills out wrinkles, that's it. It is not going to lift your eyebrows.A Surgical brow lift is required to lift low set eyebrows.

Richard W. Fleming, MD (retired) · Answer

If Botox was injected into the crow's feet as you described this would have no effect on brow position. If injected just below the brows you weaken the depressors elevating the brows. Fillers can be used but the improvement in most patients is minimal.The most definitive predictable elevation is achieved with a surgical brow lift. Consult with specialists who use all of these techniques.

Michael Elam, MD (retired) · Answer

Dear Marilyn_Rose,  Botox placement around the eyes "crows feet" would not be helpful to lift the brows. It is generally placed in muscles above the brows to lift the brows. Fillers are sometimes used to give an illusion of lifting the brow. In my practice most patients who are in the same age bracket as you and are beginning to see some signs of their brows dropping or feeling that they look tired typically have an endoscopic browlift. With the technique I use I undermine down below the malar level lifting the skin, tissue and muscle back to its pre-aging position without removing any skin so the results are very natural with no tell tale signs of surgery. The small endoscopic incisions are placed in the hair and not visible. Seek some consultations with experts in the field and discuss your many options. For further information see the link below and a patient the same age as you in the video attached. Best regards, Michael V. Elam, M.D.

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