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Treatment of a droopy outer eyebrow

Posted:12:33 p.m. Friday, March 7, 2014

By Anita Mandal, M.D.

Question: The outer part of my eyebrow sags and makes me look sad. A plastic surgeon advised a browlift, another said Botox™, and a third recommended injectable fillers. I’m so confused. How can I know what is right for me?

Answer: There are several ways to lift a droopy outer brow. The choice of treatment depends on the cause.
A surgical browlift works best when the inner and central parts of the brow are sagging, along with the outer part. When it’s mainly the outer brow that sags, a browlift may create more disproportion and exaggerate the “sad” look caused by the brow.
Ultherapy™ can be tailored to primarily treat the outer brow. This can result, over a period of four months, in a gradual lifting of the outer brow. While Botox or Dysport™, alone, can sometimes lift a sagging outer brow, combining Ulthera™ with Botox can enhance and prolong the results.
Sometimes, a sagging outer brow is due to loss of volume in the upper face. With age, we lose fat and bone, resulting in hollowing of the temples, forehead and outer-brow area. Injecting a long-lasting filler like Bellafill® into these hollow areas can result in lifting of the outer brow with volume restoration to a more youthful, rested and awake appearance.
Careful consultation with a board certified Facial Plastic Surgeon to assess the cause of your droopy brow is the first step to formulating an effective treatment approach.

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