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The Real Talk: Droopy eyebrows

Writer: Colleen JenkinsColleen Jenkins

Updated: Mar 4

Understanding Brow Ptosis: Causes, Effects, and Fixes


As we age, our facial features inevitably change, and one common yet often misunderstood issue is brow ptosis. Simply put, brow ptosis refers to the drooping of the eyebrows, which can make a person look tired, sad, or older than they actually are. In some cases, severe brow ptosis can even impair vision. Fortunately, various treatment options exist to address this issue, ranging from non-invasive solutions to surgical interventions.






What Causes Brow Ptosis?

Brow ptosis occurs when the muscles and connective tissues that support the eyebrows weaken over time. Several factors contribute to this condition, including:

  • Aging: The natural aging process leads to a loss of skin elasticity and muscle tone, causing the brows to droop.

  • Genetics: Some individuals are more predisposed to brow ptosis due to hereditary factors.

  • Neurological Conditions: Certain disorders, such as Bell’s palsy or myasthenia gravis, can lead to muscle weakness and result in brow drooping.

  • Chronic Sun Exposure: UV radiation accelerates skin aging, contributing to collagen breakdown and sagging skin.

  • Botox Misuse: Overuse or improper injection of Botox can weaken the forehead muscles, leading to temporary brow ptosis.


How to Fix Brow Ptosis


Non-Surgical Treatments

For mild cases of brow ptosis, non-surgical treatments can provide effective results:

  1. Botox (Strategically Applied)

    • When administered correctly, Botox can lift the brow by relaxing the muscles that pull it downward while allowing the forehead muscles to elevate it naturally.

  2. Dermal Fillers

    • Hyaluronic acid fillers can add volume to the temples and forehead, subtly lifting the brows and improving their position.

  3. Ultherapy and Radiofrequency Treatments

    • These non-invasive skin tightening treatments use ultrasound or radiofrequency energy to stimulate collagen production, leading to firmer skin and a slight lifting effect.

  4. Brow Lift Taping and Exercises

    • Some individuals experiment with facial exercises and temporary brow lift tapes to reposition the eyebrows. While not a long-term solution, they can provide a temporary lift for special occasions.


Surgical Solutions

For moderate to severe cases, surgical intervention is often the most effective and long-lasting solution:

  1. Endoscopic Brow Lift

    • This minimally invasive procedure involves small incisions hidden within the hairline. A surgeon lifts the brow using an endoscope, repositioning the tissue for a more youthful appearance.

  2. Direct Brow Lift

    • Best suited for older individuals with severe ptosis, this procedure involves removing excess skin directly above the brows to achieve a lifted look.

  3. Coronal Brow Lift

    • A more extensive procedure, the coronal brow lift involves making an incision along the scalp to lift and reposition the brows. This technique is often used when significant correction is needed.

  4. Blepharoplasty (Eyelid Surgery)

    • Sometimes, drooping brows accompany excess upper eyelid skin. A combination of brow lift and eyelid surgery can provide optimal results.


Which Option is Right for You?

The best treatment depends on the severity of the brow ptosis, your aesthetic goals, and medical considerations. Consulting with a qualified dermatologist or plastic surgeon is crucial to determining the most suitable approach for you.


Final Thoughts

Brow ptosis is a natural part of aging, but it doesn’t have to define your appearance. With advancements in aesthetic medicine, there are multiple ways to restore a youthful, refreshed look, whether through non-surgical treatments or surgical interventions. Understanding your options can help you make an informed decision and regain confidence in your appearance.

If you’re concerned about brow ptosis, book a consultation with us to explore the best approach for you.


 
 
 

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