The position of the eyebrow is central in facial expression, and its position is subconciously a strong non-verbal form of communication. A brow located high towards the ear can make one appear surprised and a brow that is low near the nose can make one look angry or tired. The proper position of the brow in women is just above the bony prominence, or supraorbital rim, just above the eye, and the brow should be right at the supraorbital rim in men. A brow-lift surgical procedure requires only a week of downtime. For the patient who wants lifting of the brow without surgery, a non-surgical brow-lift can be preformed with either Botox or Botox-like injections, fillers, or a combination of both, which requires no downtime.
The position of the brow is controlled by many forces including the pull of the muscles of facial expression. The frontalis muscle, or muscle of the forehead, is the only muscle that raises the brow. The muscle of the eye, orbicularis oculi, and the muscles over the nose, corregator supercilli, procerus, and depressor supercilli, depress the brow. The muscles can be weakened with Botox, Dysport, or Xeomin, and the brow will rise.
As the face loses volume, the skin skin sags, just as if you slowly let air out of a balloon. At the brow region, the loss of volume can create a ridge or depression above the eyebrow. This can give a harsh and masculine appearance to the face. With the addition of a hyaluaranic acid filler, Restalyane, Perlane, or Juvaderm to this depression, the brow will raise, and the face will have a softer appearance.
Dr. Jonathan Kulbersh is a Board-Certified Head and Neck Surgeon and is fellowship trained in facial plastic and reconstructive surgery. His practice, Carolina Facial Plastics, has offices in Charlotte, North Carolina and Columbia, South Carolina serving the Southpark, Meyers Park, Eastover, Ballentyne, Huntersville, Irmo and Lexington areas.