Do you look happy? sad? tired? angry? Have you ever
wondered how you know what another persons mood is just by
looking at his or her face? Studies have shown that one instantaneously
and subconsciously makes a determination of another persons
mood just by glancing at the position and appearance of both the
eyebrows and mouth. But what if only the position of the eyebrows
was varied, and not the mouth? Would you still be able to assess
his or her mood or personality just by seeing the eyebrows?
Observe the four faces shown below. Notice how each
face has exactly the same shape, the same smile, and the same eyes.
The only difference between each of the faces is the position of
Low, flat eyebrows that hang over the eyes denote
fatigue, while an eyebrow that is highest in the middle denotes
sadness. Downward slanting eyebrows portray anger, while highly
arched eyebrows portray happiness.
Frequently, malposition of the eyebrows can be overlooked
when considering facial aging and expression. Eyebrow sagging and
upper eyelid fullness occur over time as a result of gravity and
the tug of war of repeated
opposing muscle contractions. In more advanced stages, low eyebrows
and upper eyelid fullness can contribute to peripheral and upper
visual field loss. Furthermore, the heavy eyebrow skin pushes the
eyelid down causing a tired appearance.
To counteract the eyebrow droop, many people unknowingly
raise their eyebrows to remove the brow and eyelid skin from their
visual space. These people eventually develop furrows or wrinkles
in the forehead due to the constant contraction of the muscles that
raise the eyebrow. In addition, there are those who are sensitive
to light and frequently squint and squeeze their eyes.
This effectively pulls the eyebrows down and leads to wrinkles between
the eyebrows and at the corners of the eyes (known as crows
Botox is an
effective, temporary corrective measure for fine lines of the forehead
and lines between the eyebrows. Botox works by freezing the muscle
movement for several months. However, if the eyebrow is already
positioned low relative to the brow bone, Botox may contribute to
brow lowering since it will weaken the muscles on the forehead that
are responsible for holding the eyebrow up. In this case or for
the purpose of creating a more pleasant appearance, the best corrective
measure is brow lift surgery.
Most brow lift and forehead surgery is now performed
with the aid of a tiny camera. This endoscopic
surgery allows the surgeon to make very small incisions hidden
in the hairline thereby causing less nerve damage, swelling, and
bruising than traditional open, coronal browlift surgery. Because
of the minimal trauma with endoscopic surgery, the patient has an
overall faster recovery time.
Older patients with severe skin excess of the forehead
may be better served by other browlift techniques. Using the direct
brow lift method, an incision is made slightly above the eyebrow
hairs and excess skin is removed. With a mid-forehead lift, the
incision is made in the prominent wrinkles in the middle of the
forehead. Either incision is barely perceptible once it heals, thanks
to meticulous suturing and careful attention to the healing process.
Dr. Jonathan Hoenig provides the most advanced and innovative techniques
in facial plastic surgery and facial rejuvenation today. To learn
more about facial plastic and reconstructive surgery, visit us on
the web at http://www.la-plastic-surgery.com,
or phone toll free 866-HOENIG9.
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