How to Change Brow Height and Shape

Droopy Brow Cause

When the brow droops or flattens, it is most often caused by a loss in volume of naturally occurring fat in the eyebrows, temples, and forehead or through atrophy of supporting tendons. Since the eyebrow is closely connected to facial expressions, a droopy eyebrow can cause us to look unhappy or tired, even when we aren’t.

Solutions for altering brow height and brow shape, largely focus on the muscles. The face has a large number of these muscles that are responsible for expression. In the case of droopy brows, treatment focuses on muscles that raise the brow or muscles that pull the brow down.

The frontalis muscle is the muscle responsible for raising the eyebrow on each side. The frontalis is wide and goes from one end of the brow to the other. Because the action of the frontalis is to raise the brow, it is also the muscle that causes horizontal forehead lines. When the frontalis muscle is weakened or loses volume, the brow tends to sit lower on our face, often giving the impression of droopy upper eyelids.

A lower brow can also be caused by other non-surgical treatments, specifically treatments of horizontal forehead lines with Botox. As previously explained, the frontalis muscle causes you to have horizontal lines in the forehead naturally. However, this muscle also is responsible for holding up the brow, so when patients treat those muscles, they relax them to reduce the formation of lines, but in doing so cause the eyebrows to sit in a lower position.

The focus of any non-surgical brow treatment, is to strengthen the frontalis muscle by temporarily relaxing the depressor muscles that lower the brow. In doing so, we force the frontalis muscle to work more and rebuild strength.

Treatment for Low Brows

Botox is the perfect solution for raising or reshaping the brows. Since Botox is a muscle relaxer, it is able to accomplish a raising of the brows by temporarily weakening our face’s depressor muscles. As mentioned, if these muscles that lower the brow are treated, the result is that the forehead muscles are free to lift the brow without working against the muscles that pull the brows down. This often causes the brows to rest higher.

An added benefit of this treatment is the removal of certain facial lines. Because these depressor muscles also cause crow's feet and vertical lines between the brows, a Botox treatment to relax these muscles also results in the gradual reduction of these lines.

Things to Be Aware Of

As with most treatments, there are some aspects the patient should be aware of. With Botox treatments, the most common concern is Ptosis. Ptosis is when the upper eyelid droops over the eye. The good news is that Botox is always temporary and any ptosis caused by Botox will completely resolve itself over time. While the effects of Botox can often last three months or longer, ptosis often resolves much more quickly than that. Be sure to consult with your doctor, but these drops can be safely used up to three times a day and often give you several hours of improvement.

Another potential risk occurs if a Botox treatment is not correctly administered. In these cases, rather than the whole brow, the inside corners will rest in a lower position. This results in what is commonly referred to as “spock brows,” meaning the eyebrow has a sharp angle rather than a soft curve.

For spock brows, patients have two options. The first is simply to wait for the Botox to wear off as previously described. As an alternative, an experienced doctor may administer more Botox in the muscle that raises the lateral part of the brow, which will naturally improve the shape.

Both of these concerns are best avoided by selecting an experienced doctor to administer your treatment. If you are seeking options for a Botox brow lift, Drs. Cohen and Swartz are ready to consult with you to help find your ideal treatment to help you look your best. Contact us today!