Sagging brow and astigmatism (Photo)

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Thank you for your question. A brow lift can address the appearance of stress or anger. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy.
Best wishes,

Hi riolio,


Thanks for
adding photos, as they are very helpful.


It looks like you
have a few issues:


1.    
Low brow position


2.    
Difference between the brow position from side to side


3.    
Possible ptosis


It would be best
for you to have a thorough examination by a surgeon familiar with both brow lifting
and eyelid/ptosis surgery.


Hope this helps!


dr. silver