Q. Lately I have noticed that my brows seem to be coming down. I looked at old pictures and didn’t have this before. What can I do so people don’t tell me I look sad ?
Many people are thinking you are not alone with the statement “I didn’t have this before.” Luckily, there are many surgical and non-surgical options for you.
Botox and Dyport, when applied properly, can give you a chemical forehead lift. Ulthera and Thermage are also non-invasive techniques that may be used. One works with ultrasound and the other with radio frequency technology to tighten and therefore elevate the skin.
Injectable fillers such as Restylane, Perlane, Juvederm, Radiesse and Sculptra can simulate the appearance of an elevated brow. These would need to be placed strategically by an experienced injector in order to get the desirable result.
There are several surgical options for brow elevation. If you have a very droopy eyebrow, you can have a direct brow lift (cutting a small amount of skin above the brow and elevating it). If you have a high forehead, you can have an incision in the hair line and have the forehead pulled to a better position. If you like small, you can lift your brow endoscopically (mini incisions using endoscopes).
Finally, you can have the granddaddy of a brow lift, with an incision across your skull to position the eyebrows where they started years ago.
Each technique has its advantages and disadvantages so you and your physician should discuss what is best for you.