Eyebrow lift? Only 20 years old, but hate them - any surgeries that could benefit me? (photos)

Question

I am Pre-Hormone/OP transgender MTF, and my eyebrows are so low and sagging that they're not very feminine and make it hard to apply makeup, and have been like that since I was born. I need help exploring surgical options: I looked up brow lifts but all clients are older than my age - so I don't have a good base to go off of. My end result I hope to have more feminine eyes and symmetrical as you can see one is full of fat more than the other! Help pls! Suggestions !

James Bonaparte, MD, MSc, FRCSC · Answer

Thanks for your question. Eyebrows and the forehead is a complicated area of the head and neck. I recently wrote a three part editorial on Brows, Botox and Surgery you may find helpful. I put a link to part one below and part 2 and 3 are available now as well. Take a look and it may give you a better understanding and help you decide on treatment optionsJames P. Bonaparte, MD, MSc, FRCSCFacial Cosmetic and Reconstructive SurgeryOttawa, Ontario, Canada

Michael I. Echavez, MD · Answer

I would highly recommend consulting with a surgeon who specializes in facial feminization surgery, as there would be some options for you to make your face more feminine in appearance.

Michael J. Yaremchuk, MD (license resigned) · Answer

A careful examination is critical. Most often brow asymmetry is due to elevation of a brow to compensate for upper lid ptosis on the affected side. In this situation correction of the ptosis should be done first, and may cure the asymmetry.Standard brow lift procedures are performed based on the premise that brows naturally descend with advanced age.Unlike other areas of the body where there is descent of soft tissues, there is paradoxical elevation of eyebrows with aging. These findings explain why brow lifts may create an unnatural appearance and frequently fail to achieve the aesthetic ideal.

Jason J. Hall, MD, FACS · Answer

Typically, transgender MTF patients require more than a standard "brow-lift" - the bone of the eyesocket and forehead are masculine and more prominent than the female upper facial skeleton.  I'd recommend seeing a surgeon with craniofacial surgery experience and knowledge of the MTF patients - you'll end up with a surgery that is more involved than most plastic surgeon's typical browlift, but will accomplish your cosmetic goals much better.

George Commons, MD (retired) · Answer

You would benefit from a facial feminization procedure.   Check your local area for plastic surgeons specializing in facial feminization.   You will do well and brow lift will be a component of the whole endeavor.   My Best,  Dr Commons

Eyebrow lift? Only 20 years old, but hate them - any surgeries that could benefit me? (photos)

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Answer: MTF Browlift

Answer: MTF Browlift

Answer: Brow lift

Answer: Brow lift

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Everything you need to know about Brow Lift

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Eyebrow lift? Only 20 years old, but hate them - any surgeries that could benefit me? (photos)

Answers (5)

Answer: MTF Browlift

Answer: MTF Browlift

Answer: Brow lift

Answer: Brow lift

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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.