The Ageing Brow: A Rejuvenation Evaluation

As we age the face becomes thinner, loses volume and wrinkles visit this link. Also, soft tissues are lost. In the upper part of the face, also known as the brow or eyebrow, this can result in wrinkles across foreheads, wrinkles between eyebrows (11 line), a lowering eyebrow position and heaviness on upper eyelids. It is possible that the heaviness of upper lids can even lead patients to continually contract their foreheads in order to maintain their eyebrows. This results in even more wrinkles.

Patients age and become increasingly hollow in their temples. This can be a result of hooding the lateral eyebrow, and it can impact patient’s vision. As patients reach their 30’s, they begin to notice changes. Patients seek consultations when they are bothered by the excess skin that they see on their upper lids. I feel it’s very important to ask the patient how they looked in their 20s or early 30s, before making a suggestion. The position of the brows is crucial. This includes the height, shape, and arch. It is also crucial to determine the impact the eyebrow position has on the upper lash.

The patient will believe that they have a problem with their upper lids. In their youthful photos, the problem was not the upper eyelids. It was the brow. If this is the situation, we will recommend brow elevation to restore youthfulness in the upper facial area rather than upper eyelid blepharoplasty. If the brow position does not change from the age of youth, upper eyelids can be recommended. There are cases when patients suffer from both upper eyelid redundant and brow decline. In such cases, we recommend both procedures. In order to rejuvenate the eyebrows, it is important to take into consideration the ageing changes. Not only must the surgeon address the position, but also any wrinkles present in the skin. These wrinkles on the eyebrows are caused directly by the muscles. The 11 lines that appear between the eyebrows come from the corregators muscles which are responsible for moving the eyebrows together. The procerus is a muscle that lies between the eyebrows, on the nose and causes wrinkles at the top. The frontalis muscles located on top of the wide part of the brow cause transverse wrinkles to appear across the forehead. The depressor muscles are what actually cause the brows to lower.