Men have naturally lower brows which are also flat in shape (called T -shaped brows) vs women, who generally have arched brows sitting higher on the eye socket rim.
We all age differently, depending on whether we are men or women and genes and lifestyle choices, even young people may experience this problem.
If the lateral part of the eyebrow is sitting too low, it can give a sad or tired appearance.
When the brow position is low, some people tend to actively lift their eyebrows, which leads to forehead lines.
As the brow is sitting low on the eye socket it can also create the impression that your upper eyelids have excess skin. In many cases (particularly with younger patients) repositioning the eyebrow may refresh the appearance of your eyes without the need for eyelid surgery.
Brow lifting by toxin, skin tightening, fillers and surgery can address these issues by restoring a more youthful and pleasing brow shape and position.
In some younger patients the position of the eyebrow can be improved with the use of Botulinum toxin (Toxin or Dysport).
Anti-wrinkle injections can also aid the outcome of brow lifting surgery by preventing the action of the muscles which pull the eyebrows down.
Laxity of forehead skin can also cause the forehead & brow to sag.
Skin tightening procedures on the forehead, can address this cause & improve the position of brows.
Brow lift surgery can be performed endoscopically or by an open sky method.
The open sky method can involve placing the cuts just within the lateral eyebrow hair or within the deep forehead lines.
Classically toxin injections are given 2 weeks before surgery.
Brow lift is often performed in conjunction with an upper eyelid blepharoplasty
The aesthetic outcome may be enhanced with the use of dermal fillers (e.g. Restylane or Juvéderm) to improve hollowing of the temples and restore youthful volume to the brow, 4 weeks after surgery.