| Often a heavy and droopy brow area can cause hooding of the upper eyelids resulting in a sad or tired appearance. Depending upon the severity of the droop, there are effective non-surgical and surgical techniques that may help to restore the brows and forehead to a more youthful position offering a brighter and refreshed eye and forehead area.
Non-surgical Treatments for Droopy Brows are , botulinum toxins such as Botox® Cosmetic or Dysport® which can be injected into specific muscles that are responsible for raising the eyebrows to help open up the eye area and provide a well-rested, natural result lasting 3-5 months. If a mild brow droop occurs at the outside edge of the eye area, then in addition to botulinum toxin, dermal fillers lasting 6-12 months such as Juvéderm®, Restylane® or Radiesse® may be injected to lift the tip of the brow and open up the eye area.
Surgical Treatments for Droopy Brows: If a brow droop is moderate to severe, then a brow lift (also called a forehead lift) is often the best option for surgical correction. In addition to raising the eyebrows for a more alert and youthful eye area, a brow lift also helps to smooth creases that develop across the forehead and soften frown lines that often appear high across the bridge of the nose and in between the brows (the 11's).
Depending upon each patient's specific anatomy and the severity of the brow droop, there are several surgical techniques that may be employed to achieve the desired result.
Endoscopic Brow Lift: The surgeon uses a small camera to perform the surgery with smaller incisions behind the hairline than with traditional brow lift techniques.
TransBleph Lift: For those patients with thinning of the hairline or patients who could benefit from both upper eyelid surgery (blepharoplasty) and a brow lift simultaneously, a TransBleph procedure may be an appropriate option.
Temporal Brow Lift: If the central portion of the brow area is well positioned but the outer edges of the brow droops, then a temporal brow lift may be an appropriate surgical option.
Direct Brow Lift: For those with a very heavy brow who do not mind their forehead furrows. A direct brow lift procedure entails making incisions above the brow line in the forehead within the natural crease in the forehead or above the eyebrow so that any remaining scars are hidden after the healing process is complete. A direct brow lift may also be appropriate for facial nerve palsy patients with asymmetric forehead furrows and brow ptosis, as the scars can be used to create symmetry in the forehead area.