It happens all the time. The patients comes in to see her plastic surgeon, believing she needs cosmetic eyelid surgery. She complains of looking "tired" or "sad" when she really doesn't feel that way at all. Her surgeon examines her eyelids carefully, and then pulls up gently on her brows. "What you need is a brow lift."
"A brow lift? Me?" A brow lift is not one of the cosmetic procedures that patients most often think about. Perhaps that's because low position or sagging of the eyebrows can be something we hardly notice -- yet it makes a dramatic impact on the appearance.
A brow lift is not only for older adults. Some people have, as an inherited trait, eyebrows that are positioned low on their forehead. Sagging of the brows may also be the result of the natural aging process. In addition, adults of all ages may have deep frown lines due to stress or over-activity of muscles in their forehead.
The particular brow lift technique that your surgeon recommends will depend on many individual factors, such as the position of your eyebrows, the amount of excess upper eyelid skin and the height of your hairline. There are modified techniques that are designed primarily to soften the frown lines between your brows, and more extensive methods to correct forehead sagging and wrinkling.
If frown lines are your main concern, your plastic surgeon may suggest Botox as an alternative to surgery. To raise your brows to a more pleasing position, however, brow lift surgery will likely be recommended. If you are having other cosmetic surgery, in most cases it is possible to perform your brow lift at the same time.
Patients viewing their "before" and "after" photographs following brow lift surgery are often surprised at the big difference from simply elevating the position of their brows. The result of a brow lift is a more open, alert and relaxed look -- a look that better reflects the way you feel inside.