What procedure would you recommend to fix a heavy brow?

Thank you for your question. An in-person evaluation with someone with expertise in the management of the aging brow and forehead is recommended. There are several methods depending on patient factors including endoscopic, botulinum toxin type A, coronal, pretrichial, midforehead, and direct browlift. I hope this helps!

Thanks for this question.It is difficult to make a specific recommendation without a photo. It really depends on how low your eyebrows are. I would start with Botox and then if appropriate I would add some fillers. If this is not appropriate or does not lift the brows enough then you should consider a surgical procedure.

There are a variety of procedures that can be used to help lift heavy brows.  Botox injections can be used to give a small amount of lift to the brows, but this is a fairly temporary result.  Ultherapy can also provide some lifting of brows but the most amount of lifting could be obtained with surgery.  There are a variety of surgical techniques that can be used to lift the brows and these are tailored to the individual patient.  

first an examination by a board certified plastic surgeon familiar with brow and facial rejuvenation. Many options are available my preference is the endoscopic browlift

Dear zd432,

A heavy brow is usually characterized by heavy, weighty
tissue weighing down on the brow and upper lid.
Some individuals who have extremely thick tissue, strong muscles, heavy
eye bones and thick subcutaneous brow tissue benefit from a more traditional
technique, such as an open coronal brow lift, where the incision is placed from
ear to ear right across the scalp and the entire brow is repositioned, skin is
removed and the best possible brow contouring is usually achieved. This gives the longest possible result, but
also comes with the most clinical symptoms postoperatively, such as persistent
numbness, itching and potentially loss of hair and a visible bicoronal scar and
alopecia.

Aggressive endoscopic brow lifts through minimal port
incisions with minimal scalp excision techniques, using advanced fixation
techniques such as bone tunnels or Ultratine and Endotine fixations, are also a
good way to treat a heavy brow. This may
be done in combination with an upper lid blepharoplasty or even sometimes a
trans-brow bleph, with a bony orbital fixation combined with elevation of the
brow from above. I generally prefer this
type of endoscopic brow lift approach of the trans-blepharoplasty support in
heavy brows, as it minimizes the symptoms of a traditional bicoronal brow lift.

In general, your best advice is to seek a consultative
opinion of several plastic surgeons who are certified and with a lot of
experience in brow lift surgery.

For more information, please review the link.

I trust this information has been of some assistance and best
of luck.

Sincerely,

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto