What can be done about heavy inner brows? (Photo)

Question

I had a brow lift 2-3 years ago but im looking for a dramatic inner brow lift. Idk where to start.

Gary M. Horndeski, MD · Answer

You would benefit from a brow lift using a hairline incision.  This will decrease the vertical distance of your forehead, lower your hairline and pull up your eyebrows.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

It does not look that your brow lift has achieved much. In order to achieve result that you want I would suggest brow lift that involves hairline incision; you seem to have high forehead and reduction of the height would improve balance and contribute to overall brow lifting/ shaping effect. This should include significant reduction of  the corrugator muscles in order to lift and maintain medial (inner) portion of the eyebrows. In person consultation with a board certified plastic surgeon with a significant experience in this type of surgery is recommended. Good luck.

Sam Naficy, MD, FACS · Answer

It appears that you need a revision brow lift but with a different technique than was used before.
A hairline brow lift will likely be the best fit for you - both in more dramatic results and also in not lengthening your forehead

William Portuese, MD · Answer

From the one limited photo, does not appear that you had a brow lift. A copy of the operative report would be helpful to understand what was accomplished in the first procedure. A Coronal brow lift can accomplish lifting the entire forehead, including the inner eyebrows in addition to raising or lowering the hairline,  and giving you the look approximately where you're holding your one eyebrow. The corrugator muscles can also be softened when necessary to prevent scowling. Choose a surgeon with lots of experience producing natural results.

Gurkan Kayabasoglu, MD · Answer

Hello,

Since you have already had a brow lift, the first step is to understand which technique was previously performed and evaluate your current brow position and scar tissue. A revision brow lift can potentially provide more elevation of the inner brow.

Randall O. Craft, MD · Answer

The inner brow is held down by the corrugator and procerus muscles and by a strong attachment to the bone, so it is the part of the brow that most brow lifts move least, and the part most likely to settle back. If your original lift was a temporal (lateral) lift, it was never designed to move the medial brow at all. Options, in order of invasiveness: neuromodulator to the depressor muscles for a modest, temporary effect; an endoscopic brow lift with release and partial resection of the medial depressors; or a direct or transblepharoplasty brow lift when a hairline or pretrichial approach is not appropriate. "Dramatic" is the word that worries me. A heavily lifted medial brow reads as surprised, and that look is harder to undo than a heavy brow. Bring your operative report from the first procedure to any consultation.

What can be done about heavy inner brows? (Photo)

Answers (6)

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