Concerns We Treat
Heavy or Hooded Brow
A brow that has begun to sit low and press on the eye, lending the face a tired look that has little to do with how rested you feel.
A brow that has begun to sit low and press on the eye, lending the face a tired look that has little to do with how rested you feel.
A heavy or hooded brow is a brow that sits lower than it once did, pressing down toward the eye and lending the face a tired, closed look that has little to do with how rested you actually feel. In its milder form it is a matter of muscle balance, the muscles that pull the brow down winning out over the one that lifts it. In its more advanced form it becomes structural, as the skin and tissue of the upper face descend with the years.
The distinction matters, because the two ask for different answers. The first can be eased at the muscle. The second is the work of a surgical lift, and we will say so plainly when that is what the face is asking for.
A chemical brow lift suits the patient whose brow has begun to feel heavy but whose skin has not yet truly descended, the person in their thirties or forties who looks a little tired or stern at rest and would welcome a small, natural opening of the eye. It is at its best as a subtle lift, measured in millimeters, in keeping with the rest of the face.
The brow sits where it does because of a quiet contest between muscles. The frontalis, across the forehead, lifts the brow. The muscles around and between the eyes, the orbicularis at the outer brow and the corrugator and procerus between, pull it down. For most of life the lift holds its own. With time, and with the constant downward pull of those depressors, the balance tips and the brow begins to settle lower.
Sun, gravity, and the gradual loss of firmness in the upper face all add to it, which is why a brow that is purely a matter of muscle in the thirties often becomes a matter of structure by the sixties.
You may notice:
The earliest heaviness tends to appear in the thirties and forties, as the downward muscles gain on the lifting one and the brow loses a little of its earlier height. At this stage it is largely a question of muscle balance, and responds well to easing the muscles that pull the brow down.
From the fifties onward the change is more often structural, the skin and tissue of the upper face descending in a way that a relaxer can no longer meaningfully lift. Reading which stage a brow is in is the whole of an honest consultation.
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