Do I need a brow lift?

A brow lift is only technically needed in cases where the brow has dropped so low that the vision is obstructed. That being said, many of my patients benefit from an elective brow lift to help them look younger. The brow position should be about 1 cm above the bone orbit rim. Please check that on yourself and make a determination if you would look better by simply raising your brow on one side with your finger and comparing it to the other side.

The aesthetic brow depends on the brow position. A fuller club end nasally, the arch and the tail of the brow. The tail of the brow should be at the same level as the club. When the lateral end of the brow is lower, it gives us a tired or sad look. Lifting the brow opens up the eyes and gives us a more alert,  youthful appearance. When considering a brow lift, the height of the hairline, thickness of the hair, hair style, age, and lifestyle all need to be evaluated. There are many ways to do a brow lift, and many places to hide the incisions. Being young, with a higher hairline, and no forehead wrinkles, a lateral brow or temple lift seems to be your best option. Botox can give you a "chemical brow lift" by relaxing the muscles that are causing the lateral brow to be lower. It is temporary, but it could give you a chance to see if you like the look of a higher brow laterally before you proceed with surgery.John Standefer MD