In the upper face one of the most common complaints we hear in our Toronto practice is, “My brows are saggy and I’ve got this extra skin out here,” as the patient pinches their lateral eyelid skin. This occurs because the ligament tethering the lateral eyebrow weakens and stretches with age, and blinking thousands of times a day causes stretching and laxity to the upper eyelid skin.
Help is possible through both non-surgical and surgical intervention. A very popular procedure today is botulinum toxin (Botox®, a commonly used product) injection into the lateral eyebrow. This decreases the activity of the muscle pulling the eyebrow down, resulting in a 1 or 2 mm elevation of the brow for 3 to 4 months. Botox is also very effective to decrease the crow’s feet at the lateral eye.
If you have flattening of the lateral eyebrow and loss of subcutaneous fatty tissue, volume filling with hyaluronic acid (for example, Juvéderm® or Restylane®) can get an apparent lift and more youthful, less tired look. This usually lasts about 12 to 15 months, and can be used in conjunction with Botox for even better results.
Surgical procedures require 10 to 14 days of recovery, whereas Botox and fillers cost virtually no downtime in most cases. But a forehead lift to elevate the brows, and/or an eyelid lift to remove the excess skin, can make a more demonstrative and permanent improvement to the tired and aging look. There are several different approaches to forehead lifting, some of them minimally invasive with shorter incisions using endoscopes. An open approach provides better access to decrease forehead wrinkles and remove extra skin. We can help you make the best choice for you.
The eyelid lift, or upper blepharoplasty, is a relatively simple and quick procedure, and instantaneously removes the sagging eyelid skin as well as medial fat, if this is necessary. This opens up the eye. It is important to recognize that the forehead lift and eyelid lift correct different problems, so selecting the best procedure to meet your needs is important.
To sum up, Botox and fillers are very effective in-office procedures, and the surgical procedures give greater results that turn your aging facial features backwards forever. Sometimes, the very best result can be achieved by combining both surgical and non-surgical treatments. There are many good options to correct that saggy, tired eyebrow and eyelid look – the choice is yours. Call our office today for a consultation to find out more. Thanks for reading.