Non Surgical Brow Lift with Fillers and Botox
Surgical brow lifting is one of my favorite procedures and is the only true way to treat moderate to severe upper facial aging in a natural and lasting manner. I perform this surgery endoscopically and in a “mini open” technique as well.
Many patients do not require surgical brow lift and can benefit from injectable, non-surgical brow lift. This technique can be performed with neurotoxins (Botox, Dysport and Xeomin) and injectable fillers such as Restylane and Juvederm. The Botox allows the depressor muscles ( the muscles that pull the brow down) to relax and the elevator muscles ( the muscles that lift the brow to remain selectively active. This combination can produce a mild brow elevation when the patient moves their brow. This is generally a subtle lift and is not reproducible in all patients. Injecting filler under the eyebrow serves to fill out the hollow in that area and can actually inflate and lift a mild to moderate drooping brow. Injecting filler in the brow is more effective than Botox and is an immediate result. I prefer to combine the Botox and filler for the optimum result as one treats the muscles and the other volumizes and lifts the brow.
The entire treatment takes about 5 minutes and is painless because the area is numbed with local anesthetic. Due to the presence of the filler the treatment can last a year. In the rare case that the patient is not happy with the result, the filler can be dissolved overnight.
It is important for patients to understand that this type of brow lift does not equal the results of surgical procedures and is not intended to do so, but rather to be a minimally invasive method to produce some level of lifting for patients that do not desire surgery.
The picture above shows the technique for the “Botox” brow lift. The same technique is also used with Dysport or Xeomin
The image above show the method for “Filler Brow Lift” and a patient before and immediately after the procedure.
Again, this technique is not a substitute for surgical brow lift, but rather an alternative option for selected patients.