As we age, our skin begins to lose its elasticity, and we may notice a decrease in fat volume and structural support in the face. Over the years, the muscles and skin in the brow and forehead can descend, leading to volume loss that creates horizontal creases for some individuals, while others may experience a heavy or drooping brow. These changes can result in visible furrows between the eyebrows, excess weight in the upper eyelids, and contribute to an aged, tired, or agitated appearance.
While some nonsurgical treatments, such as botulinum toxin injections, can help soften and subtly re-contour the brow tissue, their effects are limited. For the right patient, a forehead or brow lift performed by experts like Dr. Karlin or Dr. Koplin may offer a more permanent solution for achieving a relaxed and youthful appearance.
Patients experiencing a 'heavy' forehead or brow along with drooping or deflated eyelids might benefit from a combination of upper eyelid blepharoplasty and forehead/brow surgery. When eyelid and eyebrow surgery are performed in the correct proportions, a synergy can be achieved, resulting in an overall effect that is greater than the sum of its parts. Additionally, patients with fat loss in the superior eyelid may find value in simultaneous upper eyelid fat grafting or HA filler injection.