As we age, our faces change in a number of ways. Many people will develop heaviness in the upper lid, which can make them appear tired, sick and older. This heaviness usually is due to two factors, either the eyelid tissue itself or a drooping eyebrow. When the eyebrow is the main factor in upper lid heaviness, it can be resolved a couple of different ways.
The first is non-surgical and involves using Botox in a specialized way. This is effective and quick and has the advantage of minimal downtime, but the procedure will need to be repeated again in 4 to 6 months for a continuation of the effect.
Another option involves making an incision above the eyebrow and removing tissue above the cut, then sewing the open wound together. This results in a lifting of the brow, but the procedure can leave a visible scar. This is really only acceptable in older men and women who already have deep lines in their forehead region, for whom the resulting scar can blend in with those forehead lines.
The best way to avoid visible scars is a minimal incision or endoscopic brow lift. This procedure involves making small vertical incisions in the hair line. Through these incisions the forehead is freed up from its underlying attachments and then sutured underneath the skin onto a new, higher position. This is a great procedure whose incisions are completely hidden, and the results last for decades. An endoscopic browlift can open the area above the eyelid and make the eyelid appear more awake, more vibrant and more attractive.