Is a brow lift recommended for uneven eyebrows/hooded Asian eye/angry 11s if brows are naturally very arched? (Photos)

Question

I have been treating "angry 11" brow area with 25-30 units of Botox every 2-4 months (very strong!) for the last 2 years. I have no wrinkles yet in my forehead or crows feet (I am 31). I am interested in brow lift to treat the wrinkles, open the eyes, & correct asymmetry. My eyebrows are naturally very arched already- will the brow lift make it too severe. My left side hairline, eyebrow, and eye are lower than the right. I also have hooded eyes with thick skin.

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. A brow lift differs from botox because while botox is temporary, a brow lift can create a permanent solution to uneven brows, or wrinkles along the forehead. I suggest that you move forward and consult with your board certified facial plastic surgeon to learn how your treatment plan can incorporate surgical solutions rather than simply fillers.
Best wishes,

Charles S. Lee, MD, FACS · Answer

You would benefit from a simultaneous procedure. The browlift should address the asymmetry and, in your case, elevate the center of your brow slightly along with the lateral parts of the brow. You appear to have residual botox in the frown area, distorting the assessment somewhat, but it would not interfere with having surgery with an experienced surgeon. I personally prefer doing most of the browlift from the upper lid so that I can safely and completely remove the frown muscle under direct vision. I complete the surgery using an endoscope from above, then use a dissolving hook to suspend the brow in position. Your case requires an experienced asian eyelid specialist (for the eye portion) combined with an experienced endoscopic brow surgeon. Ask for lots of before and after photos of the combined procedure.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and a well done browlift will do away with the need for Botox and ameliorate any asymmetry Dr Corbin

Michael Elam, MD (retired) · Answer

Dear Cheryl85, I would highly suggest that you have a consultation with an experienced surgeon who can discuss the possibilities of the endoscopic browlift procedure. Personally, I find that patients have a very favorable result with this procedure and especially younger patients like yourself. There are no tell tale signs of surgery and the small endoscopic incisions are placed in the hairline. See some examples in the link below and video above. Best regards, Michael V. Elam, M.D.

Is a brow lift recommended for uneven eyebrows/hooded Asian eye/angry 11s if brows are naturally very arched? (Photos)

Answers (6)

Answer: Browlift

Answer: Browlift

Answer: Endoscopic Browlift

Answer: Endoscopic Browlift

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

Is a brow lift recommended for uneven eyebrows/hooded Asian eye/angry 11s if brows are naturally very arched? (Photos)

Answers (6)

Answer: Browlift

Answer: Browlift

Answer: Endoscopic Browlift

Answer: Endoscopic Browlift

Browse related questions

Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.