Facial aging occurs differently in all people. Some develop concerns about sagging along their jawline. Others are troubled by tired-looking eyes. On the upper face, the signs of aging are influenced by the position of the eyebrows. A drooping brow line can make the upper eyelids look heavy. The general slant of the sagging brow can give the face an angry or sad tone. Fortunately, there are ways to address the drooping brow. The question is, how?
All Lifts are Not Created Equal
Just because the area of correction is localized around the eyebrows and forehead doesn’t mean there is on particular “fix.” There are varying techniques that plastic surgeons consider when addressing this part of the face, and not all require surgery. The starting point is to determine which area needs attention, the upper eyelids, the eyebrows, or the forehead.
The Upper Eyelids
Sometimes, heavy upper eyelids are simply that, heavy upper eyelids. The laxity over the eyes may have nothing to do with the eyebrows. One way to determine this is to look at the outer corners of the eyes. If deep, downward-slanting creases are forming, this may indicate the need for a brow lift. However, if sagging is localized on the eyelids themselves, the best approach may be to trim excess tissue with blepharoplasty.
The Brow Line
The eyebrows should sit along, just over, or just under the upper orbital rim. This is the bony ridge that can be felt over the eyes. When the brow line drops below this ridge, a minor lift can help restore openness and friendliness to the face. This may be achieved with an endoscopic brow lift that requires only short incisions near the temple area. Another option for cases of minor drooping is to inject the muscles on the lower part of the forehead with a neuromodulator like Botox or Jeuveau. Injectable treatment is convenient, with no downtime. However, results typically last no longer than six months.
Over time, the entire forehead may incur the signs of aging. When a drooping brow is coupled with horizontal lines on the forehead, creases at the outer corners of the eyes, and frown lines, a more comprehensive forehead lift may be ideal. This procedure hides incisions behind the hairline and lifts all tissue from the eyebrows up.
An experienced plastic surgeon can help you determine where a cosmetic problem lies and also how to address it as conservatively as possible. To learn more about brow lift surgery, call our St. Louis office at 314.475.3700.