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Brow Lift Surgery in Ankara — Surgical, Endoscopic and Botox Options
Eyebrows are one of the defining elements of facial expression. Brow ptosis can make a person look tired, angry or unnecessarily older. Prof. Dr. Tevfik Sözen determines the most suitable method among Botox, filler, endoscopic or transfollicular surgery according to the degree of brow ptosis and the patient’s expectations.
What Is Brow Ptosis? Why Does It Occur?
Brow ptosis is the downward displacement of the eyebrows from their natural position above the eyes. This condition is not only an aesthetic concern; it can narrow the field of vision and cause chronic fatigue and forehead tension.
Main Causes of Brow Ptosis
- Aging: Loss of elasticity in the forehead skin and deep fascia
- Gravity: Downward pulling of soft tissue over time
- Genetic structure: Noticeable brow ptosis may occur at an early age in some families
- Excessive Botox: Incorrectly applied forehead Botox may overly relax the forehead muscle and lower the brow
- Muscle weakness: Weakening of the forehead muscle (frontalis)
The Effect of Brow Ptosis on the Eye
Brow ptosis and upper eyelid sagging are related to each other. Upper blepharoplasty performed without lifting the brow may give insufficient or short-lasting results if brow ptosis is ignored. For this reason, the brow-eyelid area should be evaluated together.
Brow Lift Methods: Which One Is Suitable for You?
The degree of brow ptosis, age, skin structure and expectations are considered when choosing between surgical and non-surgical options:
1. Brow Lift with Botox
Botox brow lift temporarily relaxes the muscles that pull the brow downward (orbicularis oculi, procerus, corrugator) with botulinum toxin, allowing the brow to be positioned slightly higher. It does not require surgery, the procedure takes 10-15 minutes and its effect lasts for 3-4 months.
How many mm of lift is achieved? Usually 1-3 mm — it may be sufficient for mild brow ptosis
Who is it suitable for? Patients with mild to moderate brow ptosis, those who are not ready for surgery or who want to see the result first
Advantage: No anesthesia, no loss of workday, reversible
Disadvantage: Temporary (3-4 months), insufficient in moderate to advanced sagging
Brow Drooping After Botox — What Can Be Done?
When forehead Botox is applied with the wrong dose or to the wrong point, it may overly relax the forehead muscle (frontalis) and cause the brow to fall lower than before. This condition usually resolves on its own within 6-8 weeks. Eye drops or facial exercises recommended by your doctor may be used to speed up the recovery process; a second Botox intervention is not recommended during this period.
2. Brow Lift with Filler
A slight lifting and volume effect can be achieved by injecting hyaluronic acid filler under or above the brow. It is not as common as Botox; it is applied in cases where mild brow ptosis is accompanied by volume loss. Its effect lasts 9-12 months.
3. Endoscopic Brow Lift Surgery
The brow and forehead tissues are lifted and fixed with the help of an endoscope through 3-5 small incisions made within the scalp. No large externally visible scar remains.
Who is it suitable for? Mild to moderate brow ptosis; patients with a normal or high hairline
Advantage: Minimal scar, fast recovery, long-lasting result
Disadvantage: It may not be sufficient in moderate to advanced sagging
Recovery: Social life in 1-2 weeks, final result in 3-6 months
4. Transfollicular Brow and Forehead Lift
The brow and forehead tissues are repositioned through incisions made from the hairline in a way that does not damage the hair follicles. It is preferred in patients with a high hairline; it provides effective, long-lasting results in moderate and advanced brow ptosis.
Who is it suitable for? Moderate to advanced brow ptosis; patients with a high hairline
Recovery: Social life in 2-3 weeks, final result in 3-6 months
Scar: Hidden within the hair and becomes less noticeable over time
5. Temporal Brow Lift
This is a minimal intervention performed from the temple area, aiming only to lift the outer end of the brow. It is preferred in patients with outer brow sagging whose inner brow position is suitable. Short recovery time and a natural appearance are among its main advantages.
Recovery Process After Brow Lift Surgery
First Week
Swelling and bruising around the forehead and brow area are expected. The head should be kept elevated while lying down, and cold compresses should be applied. Looking at screens for long periods should be avoided; reading and computer work should be limited.
Weeks 1-2: Return to Social Life
In the endoscopic technique, most patients return to social life in weeks 1-2. In the transfollicular technique, this period may be slightly longer. Temporary numbness or sensitivity may be seen in the scalp; this is a normal sign of recovery.
Month 1: Brow Position Settles
The brows approach their ideal position; however, 3-6 months are required for the final position. Light exercise may be started; high-tempo sports are not allowed.
Months 3-6: Final Result
Recovery is complete, and the tissues have fully adapted to their new position. Sun protection and moisturizing support skin recovery.
Brow Lift + Eyelid Aesthetics: Why Should They Be Planned Together?
Brow ptosis and upper eyelid sagging often occur together. If only the eyelid is treated and the brow is ignored:
The result may not look sufficient in a short time
Eyelid surgery may create a basis for removing more tissue than necessary
The brow remaining low may continue to negatively affect facial expression
For this reason, both areas are evaluated together during examination; a combined plan in a single session is advantageous both economically and functionally.
You can have a personal evaluation for your brow position and facial expression. Preliminary analysis via photograph is available.
WhatsApp: wa.me/905356873700
Phone: +90 535 687 37 00
E-mail: info@tevfiksozen.com
Address: Çankaya / Ankara
