At Skin and Scar Care Clinic, we offer medical-led treatment for eyebrow droop, brow heaviness, upper eyelid hooding, forehead wrinkles and tired-looking eyes.
Eyebrow droop, also known as brow ptosis, can make the eyes look heavy, tired or sad. It can also contribute to the appearance of excess upper eyelid skin, even when the eyelid itself is not the main problem.
Our non-surgical eyebrow droop treatments may include:
- Endolift® brow lifting
- Anti-wrinkle injections
- CO₂ laser for eyelid and forehead skin tightening
- Temple bioremodelling
- Combination treatment where suitable
- Surgical referral where non-surgical treatment is not appropriate
Our approach is subtle, natural and personalised to your anatomy.
What Causes Eyebrow Droops?
Eyebrow droop occurs when the brow sits lower than ideal, creating heaviness around the upper eyelid and forehead.
This may affect:
- The outer brow
- The central brow
- One eyebrow more than the other
- Both brows
- The upper eyelid area
- The forehead and temple region
Some clients describe this as:
- Heavy eyebrows
- Hooded eyes
- Tired-looking eyes
- A sad or angry expression
- Forehead heaviness
- Reduced brow arch
- Asymmetrical eyebrows
- Difficulty applying eye make-up
It is important to identify whether the problem is true eyebrow droop, excess upper eyelid skin, eyelid ptosis or a combination of these.
Common causes of eyebrow droop
Eyebrow droop can happen for several reasons
1. Ageing and collagen loss – As we age, collagen and elastin reduce. The forehead and upper eyelid skin can become looser, allowing the brow to sit lower.
2. Skin laxity and sun damage – Photoageing can weaken the skin, causing wrinkles, crepiness and reduced firmness around the forehead, temples and eyelids.
3. Muscle imbalance –
The position of the eyebrows is controlled by a balance between lifting muscles and lowering muscles.
The frontalis muscle lifts the brows, while muscles around the eyes and frown area pull the brow down. If the lowering muscles become stronger or overactive, the brow can appear heavy.
4. Temple hollowing and loss of support – Volume loss in the temple area can reduce support around the outer brow. This may make the lateral brow appear lower and contribute to a tired or hollow upper-face appearance.
5. Genetics – Some people naturally have lower-set brows or heavier upper eyelids from a younger age.
6. Weight loss and facial volume change – Significant weight loss can reduce facial fat support, including around the temples and upper face. This can make brow heaviness more noticeable.
7. Previous treatments – Previous anti-wrinkle injections, filler placement or surgery can sometimes affect brow position or symmetry.
8. Medical or neurological causes –
A sudden eyebrow or eyelid droop, especially on one side, should not be assumed to be cosmetic. It may need urgent medical assessment.
Seek medical advice urgently if eyebrow or eyelid droop is sudden or associated with:
- Facial weakness
- Slurred speech
- Severe headache
- Vision changes
- Eye pain
- Double vision
- New eyelid droop
- Unequal pupils
- Numbness or weakness elsewhere in the body
Eyebrow droop or eyelid ptosis — what is the difference?
Many clients use the term “droopy eyelids”, but the cause can be different.
Eyebrow droop
The eyebrow sits low and pushes skin downwards towards the upper eyelid. Lifting the brow manually may improve the hooding.
Upper eyelid skin laxity
There is loose or excess upper eyelid skin. This may need laser treatment, Endolift®, skin tightening or, in more severe cases, upper blepharoplasty surgery.
Eyelid ptosis
The eyelid itself sits lower because the eyelid-lifting muscle is weak or stretched. This may need ophthalmology or oculoplastic assessment rather than cosmetic brow treatment.
During your consultation, we assess the brow, eyelid skin, forehead muscles, temple support and facial symmetry to decide which treatment is most suitable.
Treatment options for eyebrow droop
Endolift® for brow lifting
Endolift® is a minimally invasive laser treatment that works beneath the skin to stimulate collagen remodelling, tissue tightening and gentle lifting.
For selected clients, Endolift® may help improve:
- Mild to moderate eyebrow droop
- Lateral brow heaviness
- Upper eyelid hooding caused by brow descent
- Forehead skin laxity
- Crepey skin around the brow area
- Mild asymmetry
- Tired-looking eyes
Endolift® can be a useful option for clients who want a non-surgical approach and are not ready for a surgical brow lift.
What to expect with Endolift® brow lifting
Treatment is usually performed under local anaesthetic. A very fine fibre is used under the skin to deliver controlled laser energy.
You may experience swelling, bruising, tenderness or tightness afterwards. Results are gradual and continue to improve as collagen remodels.
Final results are usually assessed over 3–6 months.
What Endolift® cannot do
Endolift® is not a replacement for surgery. It cannot remove large amounts of excess skin and cannot guarantee perfect eyebrow symmetry.
If brow droop is severe, or if there is significant upper eyelid skin excess, a surgical brow lift or upper blepharoplasty may be more appropriate.
Anti-wrinkle injections for brow lifting
Anti-wrinkle injections can be used to relax selected brow-depressing muscles. This may allow the lifting muscles of the forehead to create a subtle brow lift.
Anti-wrinkle injections may help improve:
- Mild brow droop
- Heavy outer brows
- Frown lines
- Forehead wrinkles
- Crow’s feet
- Brow asymmetry caused by muscle imbalance
- Tired or angry-looking expression
How anti-wrinkle brow lifting works
Small amounts of anti-wrinkle product are placed into specific muscles around the brow, frown or crow’s feet area.
The aim is to soften downward pull and improve brow shape gently.
Results usually start to appear within a few days, with best results commonly seen around 2 weeks.
The effect usually lasts approximately 3–4 months, depending on the individual.
Important safety note
Anti-wrinkle injections around the forehead and eyes require careful planning. If the wrong muscles are over-relaxed, the brow may feel heavier rather than lifted.
Possible side effects include temporary heaviness, asymmetry, bruising, headache, eyelid droop, eyebrow droop or incomplete correction.
For this reason, treatment should be performed conservatively and reviewed carefully.
CO₂ laser for eyelid and forehead skin tightening
CO₂ laser is a resurfacing and skin-tightening treatment that can improve the quality of loose, crepey or wrinkled skin around the upper eyelids, forehead and brow area.
CO₂ laser may help improve:
- Fine lines around the eyes
- Crepey upper eyelid skin
- Wrinkled forehead skin
- Loose eyelid texture
- Sun-damaged skin
- Skin quality around the brow
- Mild tightening of the upper eyelid area
CO₂ laser is particularly useful when the problem is not just brow position, but also skin quality and wrinkles.
What to expect with CO₂ laser
CO₂ laser involves downtime. The skin may be red, swollen, dry, crusted or sensitive for several days.
Strict aftercare and sun protection are essential.
Results improve gradually as new collagen forms over several weeks to months.
CO₂ laser and brow droop
CO₂ laser can improve the skin envelope and texture, but it does not create the same lift as a surgical brow lift. It is often best used in combination with Endolift®, anti-wrinkle injections or temple bioremodelling depending on the cause of brow heaviness.
Temple bioremodelling for lateral brow support
The temples play an important role in upper-face balance. With age, weight loss or natural anatomy, the temple area can become hollow. This can reduce support around the outer brow and make the upper face look tired.
Temple bioremodelling uses regenerative injectable treatments to improve tissue quality and support around the temple region.
At Skin and Scar Care Clinic, this may include treatments such as Bio Remodelling / Bio Stimulator or other suitable biostimulatory approaches, depending on assessment.
Temple bioremodelling may help improve:
- Temple hollowing
- Lateral brow support
- Upper-face tiredness
- Mild facial skeletonisation after weight loss
- Skin quality
- Subtle lift and contour around the outer brow
- Transition between forehead, temple and cheek
What to expect with temple bioremodelling
Treatment is usually performed using carefully placed injectable product. The aim is not to overfill the temples, but to restore support and improve tissue quality gradually.
A course of 2 sessions, usually spaced around 4 weeks apart, may be recommended depending on the product and treatment plan.
Mild swelling, bruising, tenderness or temporary lumps can occur.
Who benefits most?
Temple bioremodelling is most useful where brow heaviness is linked to temple hollowing or loss of upper-face support.
It may be combined with Endolift® or anti-wrinkle injections for a more complete upper-face rejuvenation plan.
Combination treatment for eyebrow droop
Eyebrow droop often has more than one cause. The best results usually come from treating the correct layers.
Muscle-related brow heaviness
Recommended treatment may include:
- Anti-wrinkle injections
- Careful brow-lift toxin pattern
- Review at 2 weeks
Skin laxity and crepey eyelid skin
Recommended treatment may include:
- CO₂ laser
- Endolift®
- Skin boosters where suitable
Lateral brow droop and temple hollowing
Recommended treatment may include:
- Temple bioremodelling
- Bio Remodelling / Bio Stimulator CAHA, PLLA
- Endolift® brow lifting
- Subtle anti-wrinkle injections
During your consultation, we will advise whether a single treatment or combination approach is best.
Treatment timeline
Consultation
We assess your brow position, eyelid skin, forehead movement, temple hollowing, facial symmetry and medical history. We will also check whether the concern is eyebrow droop, eyelid ptosis, upper eyelid skin laxity or a combination
Anti-wrinkle injections
- Starts working: usually 3–7 days
- Best result: around 2 weeks
- Duration: commonly 3–4 months
- Review: around 2 weeks if needed
Endolift® brow lifting
- Early swelling/tightness: first few days to weeks
- Early improvement: 4–8 weeks
- Collagen remodelling: 3–6 months
- Final result: usually assessed at 3–6 months
CO₂ laser
- Initial downtime: several days depending on intensity
- Redness and sensitivity: can last longer depending on skin and settings
- Early improvement: 2–6 weeks
- Collagen improvement: 3–6 months
Temple bioremodelling
- Mild swelling or tenderness: a few days
- Early tissue support: within weeks
- Best result: often after 2 sessions
- Maintenance: usually individualised
Suitable candidates for eyebrow droop treatment
You may be suitable if you have:
- Mild to moderate eyebrow droop
- Heavy outer brows
- Tired-looking eyes
- Forehead wrinkles
- Frown lines
- Crow’s feet contributing to brow pull
- Mild upper eyelid hooding caused by brow descent
- Crepey upper eyelid or forehead skin
- Temple hollowing with lateral brow heaviness
- Realistic expectations
- Good general health
- Preference for non-surgical treatment
Who may not be suitable?
You may not be suitable for non-surgical eyebrow droop treatment if you have:
- Sudden eyebrow or eyelid droop
- New facial weakness
- Vision changes or double vision
- Severe headache with new droop
- True eyelid ptosis requiring ophthalmology assessment
- Severe upper eyelid skin excess requiring surgery
- Severe brow descent requiring surgical brow lift
- Active skin infection in the treatment area
- Active eye infection
- Uncontrolled medical conditions
- Pregnancy or breastfeeding
- Known allergy to proposed products
- History of poor wound healing or keloid scarring
- Unrealistic expectations
- Need for a surgical-level result
- Previous treatment complication requiring specialist review
If we believe your concern is medical or surgical rather than aesthetic, we will advise appropriate referral.
When to seek medical advice first
Please seek medical advice before cosmetic treatment if eyebrow or eyelid droop is:
- Sudden
- One-sided and new
- Associated with facial weakness
- Associated with slurred speech
- Associated with severe headache
- Associated with eye pain
- Associated with double vision or blurred vision
- Associated with unequal pupils
- Associated with numbness or weakness elsewhere
Aesthetic treatment should never delay urgent medical assessment.
Aftercare advice
After treatment, you will receive personalised aftercare depending on the procedure performed.
General advice may include:
- Avoid rubbing or massaging the treated area unless advised
- Avoid strenuous exercise for 24–48 hours
- Avoid alcohol for 24 hours after injectable treatment
- Avoid sauna, steam rooms and excessive heat
- Avoid lying flat for several hours after anti-wrinkle injections
- Avoid make-up for the rest of the day after injections where possible
- Use SPF 50 after laser treatment
- Avoid active skincare until advised after CO₂ laser
- Contact the clinic if you develop severe pain, worsening swelling, infection symptoms, skin colour change, visual symptoms or significant asymmetry
Frequently Asked Questions
Can eyebrow droop be treated without surgery?
Yes, mild to moderate eyebrow droop can often be improved with non-surgical treatments such as Endolift®, anti-wrinkle injections, CO₂ laser or temple bioremodelling. Severe brow descent may still require surgery.
What is the best treatment for a brow lift?
The best treatment depends on the cause. Muscle-related heaviness may respond well to anti-wrinkle injections. Skin laxity may need Endolift® or CO₂ laser. Temple hollowing may benefit from temple bioremodelling.
Can anti-wrinkle injections lift the brows?
Can Endolift® lift the eyebrows?
Can CO₂ laser lift heavy eyelids?
Why are my eyebrows uneven?
Is temple treatment useful for brow droop?
Why choose Skin and Scar Care Clinic?
At Skin and Scar Care Clinic, we provide medical-grade aesthetic treatments with a safety-led, personalised approach.
We focus on:
- Careful brow and eyelid assessment
- Medical history review
- Natural-looking results
- Non-surgical brow lifting
- Endolift®, CO₂ laser, injectables and skin bioremodelling
- Honest advice about surgical versus non-surgical options
- Combination treatment planning
- Realistic expectations
- Aftercare support
We will always advise you if non-surgical treatment is not the safest or most effective option.
Book an Eyebrow Droop Consultation in Altrincham
If you are concerned about under-eye bags, eyelid puffiness, loose eyelid skin, wrinkles or tired-looking eyes, book a consultation at Skin and Scar Care Clinic.
We will assess the cause of your concern and recommend the safest and most suitable treatment plan.
Skin and Scar Care Clinic
25 Barrington Road
Altrincham
WA14 1HP
WhatsApp / Tel: 07376 311884
Website: www.skinscarcare.com
Disclaimer
Eyebrow droop treatments are medical aesthetic treatments and results vary between individuals. Treatment outcomes cannot be guaranteed.
Eyebrow droop may be caused by ageing, skin laxity, muscle imbalance, temple hollowing, genetics, previous treatment, eyelid skin excess or medical causes. A consultation is required to assess the true cause.
Endolift®, CO₂ laser, anti-wrinkle injections and temple bioremodelling can improve selected cases of mild to moderate eyebrow droop, brow heaviness, forehead wrinkles, skin laxity and upper-face ageing. However, they are not alternatives to surgical brow lift, upper blepharoplasty or oculoplastic surgery where significant brow descent, eyelid ptosis or excess skin is present.
Possible side effects include redness, swelling, bruising, tenderness, asymmetry, temporary brow heaviness, eyelid droop, headache, dry skin, crusting, pigmentation change, infection, delayed healing, scarring, incomplete improvement and the possible need for further treatment.
Rare but serious complications can occur with any treatment around the eyes. Please seek urgent medical help if you experience sudden drooping, vision changes, double vision, severe headache, facial weakness, severe pain, increasing swelling, skin colour change or signs of infection.
We always aim to provide 100% effort, but final results depend on anatomy, skin quality, muscle activity, degree of laxity, age, medical history, healing response, lifestyle factors and adherence to aftercare.