As we age, the position of the eyebrows can change. Often it is not the entire eyebrow that droops, but specifically the lateral (outer) portion. This, combined with a loss of volume beneath the eyebrow, can create a tired and aged appearance. Moreover, it can even affect your vision as the eyebrows sag and the eyelids overhang.
Although the eyebrow may still appear to be at the correct height, wrinkles and folds at the sides of the eyes or in the center of the forehead may indicate a position that is too low. Over-plucking the lower brow border or tattooing higher up often reveals an underlying descent of the brow tissues. This is an often overlooked indication for a brow reset or recontouring.
When drooping eyebrows place pressure on the upper eyelids, the body reflexively attempts to raise the eyebrows to compensate. This worsens the forehead wrinkles. A brow reset or recontouring can not only improve aesthetics but also address functional issues. The goal of this procedure is often to lift the eyebrow to the position where the patient reflexively elevates it.
The result is a subtle lift with a brighter, rejuvenated appearance and improved vision, combined with a relaxed forehead muscle and fewer wrinkles.
Procedure
A brow reset or recontouring is performed under general anesthesia or sedation and takes approximately 1 hour. The incision is made behind the temporal hairline, placing the scar within the hair, which is why some refer to this as a scarless browlift.
During the procedure, the eyebrows are released and repositioned so that they return to their natural, younger position.
When volume is added, as in a recontouring, this is typically done beneath the medial eyebrow. In some cases, it can also be applied to the lateral portion.
Recovery
After the procedure, you may experience significant swelling and discoloration, especially if fillers have previously been used in this area. The sutures are removed after 7 days, and swelling and discoloration typically subside within 1 to 2 weeks.
During this time, most patients can resume their daily activities. The final result is usually visible after 2 months, as the skin and tissues need time to fully heal.
During the first 4 to 5 days, patients may experience headaches, which can be effectively relieved with the prescribed pain medication.