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Botox or Brow Lift? How To Tell What You Really Need-

Brow heaviness or ptosis is a common concern for women and men alike. It can start with a feeling of heaviness or even an inability to naturally raise the forehead muscles up to a rested position. For others, the awareness of a heavy brow comes from receiving unsolicited concerns from others who ask if there's something wrong. A saggy brow can contribute to eyelid hooding and weight on the eyes, and it's critical to understand methods for correcting the concern without changing a person's natural expression and appearance.

In my practice, I offer different types of brow lift procedures to accommodate my patients varying needs and desires. When done with precision and expertise, forehead-lifting procedures raise the eyebrows to restore a refreshed and awakened appearance. These treatments and procedures include forehead lifting via BOTOX® Cosmetic and brow lift surgery. Let's review these cosmetic procedures and their impact on the forehead and facial rejuvenation.


The Aging Brow And Forehead

In a youthful female forehead, the brow has a noticeable arch in the lateral third that rests just above the natural brow bone. In youthful men, the brow line is straight, with the lateral brow resting just at the brow bone. Ptosis, or descent of the lateral brow, is an unwelcome yet common sign of aging in women and men as early as their 50s. Over time, facial aging happens as the soft tissues and skin lose collagen and elasticity. At the forehead specifically, the dropping of the skin and muscles shortens the space between the brows and lashes, compacting the appearance of the area.  Add to that dynamic facial muscles causing wrinkles at the glabella, forehead, and crow's feet, and you've got a recipe for much-needed rejuvenation.


Botox Brow Lift

A BOTOX® Cosmetic lift is popular because it's a quick and easy procedure that gets results. It's also proven effective for raising the brow 1-2 millimeters and lasts approximately 3 months before re-treatment is necessary. Botox Cosmetic has been used for over 20+ years to relax and soften the muscles responsible for movement at the forehead. In my practice, I'll use micro-doses of the product to create a lateral brow lift in instances where patients have mild to moderate drooping at the brow arch and glabella. I typically recommend the Botox brow lift for patients ages 30-50 who have mild-moderate ptosis and aren't quite ready for surgery.


Surgical Forehead Lift

Forehead lift before & after by Dallas Plastic Surgeon Dr. John Burns Dallas Brow lift before and after by Dr. John Burns

A traditional forehead lift provides a more permanent result than its nonsurgical counterpart, Botox. There are three primary types of forehead lifting techniques designed to correct varying degrees of ptosis. Well-executed forehead surgery will lift the brows and restore a refreshed and rested appearance to the face. Candidates for a surgical lift are those with significant brow ptosis and who don't see the same results with their neurotoxin treatments. A simple test can be performed by using your index fingers to raise the eyebrows up to the brow bone. Forehead lift candidates are also those who:

  • are tired of looking tired
  • are noticing less longevity and results with their botox or other neuromodulator treatments
  • feel heaviness at the eyelids and brow line 
  • are noticing more wrinkles and/or furrowing at the forehead
  • notice a decrease in their visual field when looking up


3 Types of Eyebrow Lifts

 Before & After Forehead Lift by Dallas Plastic Surgeon Dr. John Burns

Coronal Brow Lift

When a coronal lift technique is used, I will make an incision from ear-to-ear through the hairline and trim away excess skin and tighten and reposition the frontalis muscles to raise the eyebrows.

Temporal Brow Lift

A temporal or lateral lift is ideal for patients who have minimal brow sag at the central portion of the forehead and inner brows but are noticing ptosis at the tail-end of the brows themselves. The temporal lift gets its name from the temporal or temple area of the brows, and it tightens the muscles of the outer brow, the orbicularis oculi. A lateral brow lift gives the eye area at the crows' feet and upper cheeks a brighter, awakened outcome without creating a surprised or stunned look.

Endoscopic Brow Lift

An endoscopic brow technique is a minimally invasive lifting technique when tiny incisions are made across the hairline to release and elevate the brow muscles.


Recovery Time For A Brow Lift

Brow lifts are often combined with a facelift or rejuvenation of the upper eyelids. Downtime will vary based on whether or not a lift is performed as a standalone procedure or with other facial plastic surgery procedures. General guidelines for recovery are listed below.

Recovery: Back to work with makeup: 1 week More strenuous activity: 2 weeks

Final Appearance: 1-2 months for swelling to completely resolve

Duration of Results: About 10 years

BOTOX® Cosmetic can be coupled with any brow lift technique to enhance the overall appearance of the forehead area.

5 Signs You Might Be Ready For Facelift Surgery

The Lift and Fill facelift by Dr. John Burns


Book Your Brow Lift Consultation With Dr. Burns

Dallas plastic surgeon Dr. John Burns, President of the prestigious Dallas Plastic Surgery Institute and a nationally-recognized expert in plastic surgery of the face and body, welcomes the opportunity to discuss breast augmentation and other cosmetic goals with you.  To make an appointment, simply call his office at 214-515-0002, or send an email through his website.  Online consultations are also available.  Dr. Burns and his staff look forward to meeting you!