Non-surgical Ways to Help Sagging Brow Area?

Botox has been used for years to smooth upper facial lines. It can also be used to lift and shape drooping eyebrows. By relaxing the muscles that pull the eyebrows down (this can be demonstrated by winking) the eyebrows can be raised up. To achieve a natural shape, the center of the brow, near the nose, can also be raised or lowered to enhance the shape.

The most common non-surgical way to improve the brow position is with Botox injections placed in locations that help to lift the brow rather than cause it to drop. While the effect is often subtle, and less of an improvement than a surgical brow lift, there is essentially no downtime and very low risk.Keep in mind that an endoscopic brow lift can be performed that is less invasive than many other brow lifting techniques such as coronal or trichophytic approaches.All the best,

Hi,
There are non-surgical ways to achieve brow elevation. The eyebrows are lifted by 1 large muscle that covers the forehead and they are pulled down by 3 different muscles. If you have normal function of the brow lifter and overly strong function of the brow depressors, selectively weakening the brow depressors with botox/dysport will result in an overall lift of the brows (like a game of tug-of-war). Filler can also be injected at the tail of the eyebrow to help give some lift. These procedures require a thorough understanding of the face and should only be performed by an expert.
Hope this helps,
Mehdi Sina, MD

Botox injected into the muscles above the brow can "turn off" the downward pull on the brow and allow the upward pull to take over and slightly raise the brow. You must be sure, however, that you do not have the forehead muscles injected at the same time, or that will cause the brow to droop! Make sure you see an experienced injector for this treatment. Injection of the forehead muscle in people with already low brows is the most common mistake I see done by inexperienced injectors.

Botox can do both: relax or lift the brow. It all depends on which muscles are targeted. If your issue is “slight”, then I recommend you try Botox out first. Make sure to choose an injector who has plenty of experience performing this treatment.

Thank you for the question. I agree with the other experts -- four upper eyelid surgeries is likely at least 2 too may! Every time skin is removed from the upper eyelid, the eyebrow is lowered. You can achieve a lifted looking brow in many non-surgical ways. These include brow sculpting/threading, permanent makeup (tattoo), Latisse (applied to the brow hairs), and Botox. For a Botox browlift, the medicine is not injected into the forehead -- rather, it is placed at the upper and outer edges of the eyelid muscle (orbicularis). Best of luck!

Botox can actually gently lift the brow area when injected into the right muscles. Other muscles will relax causing your brow to appear more lifted, resolving your concern.

You can inject fat beneath the brow to elevate it slightly. You can also use your own fat to add volume in the upper eyelid to decrease the hollow appearance.Since you have had surgery in the past what is holding you back from just elevating the brow?Best of lukDr JA. Dean Jabs MD, PhDBoard Certified Plastic SurgeonBethesda, MD/McLean, VA

If it true that you had 4 eyelid surgeries you probably are not a candidate for brow lift. You will have a complication that you will not be able to close your eyes completely.Surgery is not a good option for you, might have to consider Botox.

It’s not unusual for patients to
seek alternatives to surgical browlift. 
For these patients, botox injections represent an excellent option.

Selective injection
of the forehead depressor muscles with Botox can cause some elevation of the
brow.  In patients who have mild
brow descent this may be adequate to correct the problem.  More severe cases will still probably
require a brow lift.

This is a relatively simple
procedure, but is somewhat dependent upon the skill of the injector.  Its major disadvantage is that it
requires repeat treatment every 3 to 4 months.  Over time, this has the potential to become very expensive.

You are correct in that Botox relaxes muscles. However a skilled injector can take advantage of this. Think of the eyebrow position as a game of tug of war. Your frontalis muscle pulls the eyebrow up and the orbicularis pulls it down. By precisely weakening the orbicularis, the frontalis wins the tug of war and the brow goes up. The results are subtle but very nice. If you only need a slight elevation this is a great solution.
While a brow lift is considered "invasive", patients tolerate the downtime, which is minimal, very well.
Would you be willing to post some photos? This would be really helpful for the participating surgeons to give some advice on what may be going on with your eyes following multiple eyelid surgeries.