Brow Lift Archives - Scott Mosser M.D.

The hallmark attributes of youthful skin is similar across cultures and ethnicities: firm, elastic, smooth, and free of defects or blemishes. However, the human body changes over time and the skin is no exception. As the largest organ in the body, it undergoes a tremendous number of changes from infancy to childhood to adolescence to adulthood.

Every so often, loose, sagging skin is one of the noticeable changes that prompt men and women to seek Dr. Mosser’s expertise in providing cosmetic solutions. Read on below to learn more about ways to reduce and delay the appearance of sagging skin resulting from aging.

Factors with Major Influence on Sagging Skin

Generally, factors that influence the appearance of sagging skin include the following:
- Effects of gravity – This refers to the natural downward pull as we walk, sit, and move in an upward position
- Prolonged and consistent sun exposure
- Gradual loss of collagen and elastin in the skin – Both are types of protein that naturally occur in the body and are responsible for the taut appearance of youthful skin. However, as one ages, the collagen and elastin in the skin tend to dwindle. Collagen loss is partly responsible in the appearance of crow’s feet (wrinkles in the outermost corners of the eyes) and the progression of jowls along the jawline
- Dramatic weight loss – This could be a result to a change in lifestyle (diet and exercise), recovery from a long-term illness, or immediately after childbirth when the skin loses elasticity as it is stretched. Excess, loose skin is often noticeable in the arms, stomach, hips, and thighs. In addition, stretch marks may also appear as the skin is unable to adhere to the new body contour
- Influence of hormones such as in the case of menopause when production of estrogen has been depleted.
- Prolonged and consistent sun exposure
- Substantial loss of fat tissue in the subcutaneous layer of the skin
- Shrinking bones which result to lack of support for the skin
Other factors that may also influence the development of sagging skin include chronic lack of sleep, lack of exercise, poor diet, smoking, and alcohol.

Possible Cosmetic Treatments for Excess Skin

Face and neck – If you choose the surgical route, a face lift and/or a neck lift can help remove excess skin in the area. In addition, a brow lift or an eyelid lift can help remove loose, sagging skin on the upper third of the face. The aforementioned surgical procedures remove excess skin while the remaining skin is pulled into place for a more tightened appearance.

Non-surgical alternatives include the use of dermal fillers that primarily add volume to the skin. These injectables can be injected near or around the eyes, nose, lips, and neckline.

Body – Surgical cosmetic procedures are done in a similar fashion as the aforementioned surgical techniques for the face and neck. These procedures may include a tummy tuck, buttock enhancement surgery via implants or fat transfer, or a lower body lift.

If you’ve been having sagging skin issues either in the face, body, or both, Dr. Mosser and the rest of the team would love to help you look and feel your best! Call us at 415.398.7778 or fill out this contact form today to schedule an appointment. We look forward to helping you improve your life through cosmetic surgery!
If there is dissatisfaction with the results of a procedure, it can give your self-esteem a beating. The good news is the problem can probably be improved significantly. The bad news is that it may not be possible to restore your forehead 100% to its original appearance.

Injectables like Dysport or Botox could be viable to help lower the forehead back down, but it will be a temporary fix. Otherwise you can perform a second endoscopic procedure but again, restoring it 100% to where it was before may not be possible.

The best bet is to discuss all options with a surgeon experienced in forehead and endoscopic procedures, and go from there. Once you’ve had an exam and discussed all the options, you can decide on the least invasive yet most effective treatment action tailored to your needs.
If you want to avoid surgery there are temporary alternatives in the form of Dysport or Botox. Either can work to temporarily relax the muscles pulling the brow down. Just keep in mind that you’ll have to continue treatments indefinitely, as well as incur new costs with each new treatment.

For a permanent solution surgery may be the only option. A brow lift can be tailored to an individual’s specific needs by lifting one side more than the other and this can help brow symmetry a great deal. I’d recommend an exam with a Board Certified plastic surgeon experienced in situations of brow asymmetry to better assess your needs. You can then decide on the least invasive course of treatment that will yield the best results.
Unfortunately a lateral brow lift isn’t usually effective in treating crow’s feet. Yes it’s possible it will eliminate the appearance of some of the lines, but it won’t remove all of them. Crow’s feet are small lines typically caused by laughing and smiling. Because they are created from muscular movement, the best way to treat them would be with injectables such as Dysport or Botox. These results will of course be temporary, but recovery time is quick.

If the lines are considered static (meaning you can see them even when you are not smiling or squinting) alternative options like laser resurfacing may be the way to go. The best way to answer your question definitively is to schedule a consult with a surgeon experience in brow lift treatments. You can then discuss the treatment options and decide the best route to take.
Not necessarily, but you do need to be absolutely sure that this is the surgery that is right for you.

Typically brow lift procedures are used to correct droopiness resulting from aging. However it’s possible in some people to inherit a droopy brow, and this is often apparent throughout childhood. An endoscopic or anterior hairline lateral brow lift may be appropriate and can help open up the eyes in this case.

I would encourage you to have a consultation with a Board Certified Plastic Surgeon that is well-suited to evaluate your situation and also has your best aesthetic interests at heart. Only then should you make your final decision.
This is a question that only can be answered in-person, based on an anatomic evaluation. Some patients can do fine with eyelid surgery only, when the problem is simply excess upper eyelid skin.
However if the problem lies in the descent of the brow, then it’s wise to consider how much their brows are contributing to the situation and whether or not a brow lift may be necessary for positive results.

Book a consult with a Board Certified Plastic Surgeon skilled in the procedures you’re considering, and go from there. There are also nonsurgical brow and lid rejuvenation procedures that can offer minimal and temporary fixes, but can give you a better idea of how things might look after more invasive surgical procedures are performed.
The best solution to wrinkles depends greatly on where they are located, the severity of the wrinkles, and if there is skin laxity or sagging that accompanies the wrinkles.

It is possible to temporarily treat fine lines with topical skin care creams. These add moisture to the skin and create a ‘plumping’ effect which reduces the appearance of fine lines.

Botox and Dysport are very effective when treating wrinkles on the forehead, between the brows, and around the eyes. Fillers such as Juvederm can work well to eliminate wrinkles that appear under the eyes and for the small lines around the mouth (whisper lines). Your surgeon may even use a variety of fillers or techniques, depending upon your particular situation.

For the deeper lines that can appear from the nose to the mouth, or the mouth to the chin, long lasting or permanent fillers such as Radiesse or Artefill can be great options.

There are also surgical options like Brow lift, Eyelid Surgery, and Face lifts that are very effective in ridding someone of the appearance of wrinkles. These options will typically be the most permanent solutions you can choose.

As you can see there are a multitude of options available depending on what you are experiencing. The best course of action is to schedule a consult with a Board Certified Plastic Surgeon, and discuss your options based on your unique situation.

And don’t forget that an ounce of prevention goes a long way. Avoid known wrinkle triggers such as smoking and too much sun and that will keep your skin looking smooth and youthful for a much longer time.
There are many treatment options for forehead wrinkles, and the right one for you depends on what you are experiencing. Wrinkles can usually be treated with a Botox or Dysport injection, provided your brow is in a good position already.

These products work to relax the muscles of the forehead, which reduces or eliminates the appearance of wrinkles. However, if your brow tends to droop, relaxing those muscles further will not help much.

If this is the case, or you notice deeper creases or excess skin, a Brow Lift may be a good option. During this procedure, the underlying tissues and muscles are repositioned to eliminate the lines and sagging.

It’s recommended that you visit with a Board Certified Plastic Surgeon to discuss these options thoroughly. Based on what you are experiencing, your surgeon will make suggestions and delineate a treatment plan that works best for your unique situation.
It is unlikely that a full face lift would be the best option given your age of 33 years old. Since you mention that the only area where you notice sagging is of the forehead/brows, I believe it would be best to treat that area.

You may want to consider Botox to the forehead to correct minimal brow sagging. In this procedure, you would receive injections to relax the muscles that pull the brows down. If the sagging you notice is more considerable, you may be a good candidate for a brow lift.

This procedure repositions underlying tissue and muscle in order to get rid of creases and sagging of the forehead. Depending upon your needs, this procedure can raise the entire forehead, or just the sides via an incision to your scalp, just along the hairline. Also, you should note that a brow lift and face lift treat two separate things. A brow lift raises the position of the eyebrows and the face lift will lift the cheeks and neck. That is why a consult is best. During a consultation with a Plastic Surgeon, you and your surgeon should come up with a treatment plan together that addresses your unique concerns and achieves your appearance goals.
This depends greatly on your individual circumstance. Some asymmetries can be repaired, and some can’t. And most people have some facial asymmetry anyway to a degree. A surgeon who is skilled can assess any asymmetries you may have and help you come up with a surgical plan to minimize them as best as possible. A skilled surgeon will also be able to highlight those asymmetries that can’t be improved upon, and let you know up front so that you don’t go in with unrealistic expectations.
I recommend visiting with a Board Certified Plastic Surgeon who can do an assessment and discuss with you what options would best achieve your goals. It is possible that a Botox treatment could assist in lifting the brow in question, or a unilateral brow lift may be a good option, if you are a candidate for the procedure. But the only way to assess this properly is a one-on-one consult, so your surgeon can examine you and discuss the options. Just keep in mind that while asymmetries can be reduced, we all have them to a degree and most often they can’t be completely corrected.