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

A brow lift procedure can accomplish not only raising low eyebrows, but adjusting asymmetries.  The lower brow is raised more than the higher brow.  In addition, the  hairline can be raised or lowered depending on placement of the incision.  When patients have wrinkles on the forehead created from hyperdynamic muscles,  they can be softened as well.  For many  examples of the eyebrow lifts please see the link and the video below

You appear to have 2 problems, a slight difference in the height of the brows and bilateral ptosis (droop of the eyelids). The ptosis is corrected with forced elevation of the brows. A brow lift will correct the uneven height. You, however, need a thorough examination by surgeon familiar with treating ptosis to determine the exact cause and, thus, the best treatment for the ptosis.