Some individuals have a problem with drooping eyelids, or brows. This problem may be remedied with surgery or, in some instances, with a non surgical procedure, often referred to as a non-surgical Browlift.
Medical practitioners are now using progressive non-surgical medical techniques and advanced dermal fillers, including Juvederm®, Radiesse® and Restylane®, as well as BOTOX®, to contour areas around the eyes. With advanced dermal fillers, healthcare professionals can correct or diminish a number of problems, such as drooping eyelids, bags, appearance of dark circles or sunken areas under the eyes and in the tear trough.
A healthcare professional who is experienced in advanced dermal filler techniques may help lift a drooping or hooded eye lid with one or more of the following procedures.
One of the ways a medical practitioner will lift the upper eye lids is to place an advanced dermal filler such as Juvederm® or Restylane® immediately behind the eye brow, under the skin. This technique is a way to provide a gentle lift to a sagging eyelid, referred to as a Liquid Browlift. It also can serve as an appealing accent to the eyebrow line. An ancillary benefit of this procedure is that it can help lessen squinting, which decreases the tendency to develop crows feet (lines extending from the corners of the eyes).
Another technique that is utilized is to place dermal fillers like Juvederm® or Sculptra® in the temple area. This provides a gentle and subtle lift to the eyes and browline, as well as other parts of the face. It also can help produce a nice contouring of the forehead. In many individuals, the temples flatten with age making the forehead look a little gaunt. Advanced dermal fillers can restore a more natural contour to the forehead.
Yet another technique a few medical practitioners utilize is placement of advanced dermal fillers such as Sculptra® or Juvederm® in the forehead. The product is placed beneath the skin across the forehead. If Juvederm® is used, most medical practitioners will gently massage the forehead to spread it uniformly. If injected properly, the dermal fillers are almost always invisible.
The forehead injection technique can also help if the individual is showing what are known as suture lines on the forehead. Suture lines are vertical creases in the forehead where plates of the skull grow together during infancy. The line is virtually invisible until the skin begins to thin with age.
Before dermal fillers are applied, most healthcare providers will numb the areas to be treated with a topical anesthetic, local anesthetic or nerve block, depending upon the area to be treated and the healthcare professional’s preference. Also, ice is often used during and after the procedure to help control any swelling.
In combination with the dermal fillers, BOTOX® is usually injected into specific muscles, and specific areas of the muscles, generally in depressor muscles between and on either side of the eyebrows. These injections effectively relax the muscles that are pulling down, letting the muscles that are pulling up win the battle between them.
The BOTOX® procedure helps extend the life of the dermal fillers. Muscle movement works to break down the dermal fillers over time, so with exaggerated muscle movement under control, the dermal fillers last longer. Regular BOTOX® treatments will extend the life of these dermal filler procedures.
It is advisable to select a medical practitioner who has performed at least hundreds of dermal filler procedures because techniques are often refined over time. A medical practitioner who is more experienced in these procedures will be far more likely to achieve better, more pleasing and enduring results, which means you are getting more for your money. We have determined a number of medical practitioners nationally who have extensive experience or training with dermal filler medical procedures. To see a list of experienced healthcare professionals in your area, or to receive a special discount on your procedure, click here.
Jane J. Olson MD, Baton Rouge, LA