Sagging brow and astigmatism (Photo)

Question

I have one brow that's much lower than the other, and an astigmatism in the eye below. Both sagging brows and astigmatism run in my family, and I've had the sagging brown since childhood, I am now in my mid twenties. This problem tends to get worse as my relatives age. I can definitely see a small part of my eyelid in my top right vision, and it's a lot more work to hold up when I'm tired or stressed, which then gives me a headache. It also makes me look permanently stressed and tired.

Jason Emer, MD · Answer

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.​

Ross A. Clevens, MD, FACS · Answer

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,

Andrew G. Silver, MD · Answer

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

William Portuese, MD · Answer

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

Robert T. Buchanan, MD (retired) · Answer

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.

Sagging brow and astigmatism (Photo)

Answers (5)