Condition: Brow ptosis2018-09-18T13:00:08+00:00

Brow ptosis Overview

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020 7935 7990

The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

Learn more about treatment options

Brow ptosis

What is a brow ptosis?

Brow ptosis is the medical term for a drooping brow. Minor differences between the two eyes and periocular areas can be obvious and a brow ptosis of only 3 – 4 mm can affect facial expression significantly.

Sometimes brow ptosis is present along with other problems, such as eyelid ptosis or dermatochalasis, making the asymmetry more obvious and requiring full assessment and treatment by an oculoplastic surgeon. Jane Olver does not do brow ptosis surgery.

What causes brow ptosis?

Brow ptosis is usually a result of the ageing changes that affect the forehead muscles and soft tissue, but may also occur as a result of other conditions such as facial palsy, or after trauma, surgery etc.

Treatment

The only permanent way to treat brow ptosis is by means of an operation called a brow lift; there are several techniques. Most brow ptosis is rectified by an incision over the brow (so the scar is usually hidden by the eyebrow hairs). This is called a direct brow lift. At the end of the operation the wound is closed with stitches which are removed approximately 2 weeks later.

Sometimes botulinum toxin A (Botox® or Dysport®) can be used to help raise the eyebrows. Whilst only a temporary treatment, it is useful in cases of mild eyebrow ptosis and for patients who do not wish to have an operation.

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Video: Ptosis explained

Examination

A full ophthalmic examination is performed to check visual function, eyelids and the ocular surface. Then a full face examination is carried out. This may include measurements, observation of the general appearance of the face and skin and diagnosis of any other associated problems.

Before and after the procedure, it is commonplace to take photographs of the face. Sometimes a visual field test is ordered to see if the ptosis is interfering with the field of vision.

“Dr. Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”

Toni C.

“Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”

Nancy W.

“Just wanted to thank you for your exceptional assistance with my eye condition. I was so worried but you really helped me feel at ease.”

David T.

“I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.”

Catherine M.
“I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm and highly professional.”
Lorraine M.
“I am writing to you to say thank you to you, Cloe and Jane for taking care of me this week. You were all really lovely and professional and I am very grateful. Big cheer for The Clinica London Team.”
Rick A.
“Many thanks for taking care of my ptosis surgery today. I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.”

Charmaine
“The treatment was a great success; within 24 hours of starting the treatment the pain and swelling subsided and as a result, I was able to enjoy a great holiday in Argentina.”
Simon
“Thank you, my eye is recovering brilliantly (you almost can’t see I had it). Jane was amazing, please pass on a huge thank you.”
Jen

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Frequently Asked Questions

Direct brow lift surgery is usually performed as a day procedure, so overnight stay is not required.

In nearly all adult brow lift surgery, the operation is performed under a local anaesthetic, although an injection to make you feel relaxed is often used. If you are having an endoscopic brow and forehead lift, this is a larger operation and is best done under general anaesthetic and you may prefer, therefore, to have an overnight stay afterwards. If you have a bilateral brow ptosis, we will discuss with you whether a direct brow lift or an endoscopic brow and forehead lift is best.

Most patients say that they feel little or no pain during surgery.

Although you will be aware of some sensations such as pressure, these should not be uncomfortable. For a direct brow lift a local anaesthetic is injected into the brow and lower forehead to numb the area. For a endoscopic brow lift a tumescent local anaesthetic is injected across the whole forehead.

These injections can sting a little, but a medicine to make you drowsy is given beforehand. After the operation you may feel a slight ache or tension in the area for a few days. Mild painkillers such as paracetamol or ibuprofen will settle this.

A dressing will be placed over the brow at the end of the operation and is kept on overnight.

When this is removed there may be some bruising and swelling. To reduce this, ice packs can be applied to the brow. Cover the brow with clean gauze first and then apply the ice pack for 30 minutes at a time. Repeat this every hour whilst you are awake. Sleep with a few pillows to reduce bruising.

This depends on the nature of your work.

There may be bruising after the operation and you may experience a degree of discomfort. Avoid strenuous activity and heavy lifting for 2 weeks after the operation. You should not drive or operate machinery for 48 hours after a general anaesthetic and 24 hours after intravenous sedation.

Normally, you will be reviewed 1-2 weeks after the operation, and perhaps on one further occasion after that.

As the wound supports some tension, the stitches are best left in for at least 10 days, and are sometimes removed in two stages – half first, and the rest during a further appointment.

A final appointment is scheduled for 3 months after surgery.

As with any operation there is a small risk of complication.

Serious complications such as infection or significant bleeding are extremely rare. Whilst good symmetry between the two brows is normally achievable, sometimes it is not possible.

Occasionally more than one operation is necessary to achieve the best result.