Bothered by Brow and Eye Wrinkles? Here Are Your Options

You may feel young at heart and enjoy a very active lifestyle, but if you have lines and wrinkles on your face, you may look older than you feel. Your forehead and eyes are particularly susceptible to these telltale signs as gravity works over time to tug down on your thinner, looser skin and cause it to sag and fold. Fortunately, there are ways to lift and smooth those areas so your face won’t give away your age.Dr. Michael Macdonald at Aesthetic Surgery Center in San Francisco is renowned for his expertise in the most advanced cosmetic procedures and has helped countless people achieve their aesthetic ideal, skillfully and artfully. When it comes to signs of aging on your face, he offers a full spectrum of treatments to address your unique needs and goals.


Depending on the depth, location, and prominence of your lines and wrinkles, you may be able to get the smoother, tighter facial skin you want with minimally invasive injectables. Dr. Macdonald is a leading authority in BOTOX® and Dysport™ injections, which are FDA-approved treatments containing a neurotoxin that relaxes the muscles that cause creases every time they contract.

Both products are similar and contain the same active ingredient, but they have a slightly different protein composition that may make one more or less effective for your specific needs. Dr. Macdonald can determine which is best for you and in what dosage.

BOTOX and Dysport are ideal for relaxing the vertical lines — called glabellar folds — you may notice between your brows. These set in after years of repeated facial expressions like frowning and squinting. By relaxing those muscles and stopping the contractions, the lines smooth out and become less noticeable. This also prevents more lines and wrinkles from forming due to these dynamic expressions.

BOTOX is also particularly suited to treat horizontal forehead lines and crow’s feet. If you have severe lines that are still noticeable after your treatment, Dr. Macdonald may recommend an additional step. Dermal fillers are a great way to plump up the skin beneath your deepest lines. We use Restylane® and JUVÉDERM® to add volume to your skin and make those scowl lines seem to disappear.

If you’re curious about what you might look like after a BOTOX or Dysport injection, check out this visualizer that gives you a glimpse of the new you.

Brow lift

Sometimes, age and gravity take their toll by dragging down your brows so they droop over your eyelids. This hooded effect can leave you looking tired and prematurely aged; in some cases, it can interfere with eyesight.

Dr. Macdonald expertly targets the muscles just under your brows with a BOTOX injection to give you a temporary brow lift. If you like the look and feel of your brighter eyes and fresher face, you may want to consider a more permanent solution.

Forehead rejuvenation, also known as a brow lift, is a surgical procedure that reverses gravity’s impact. Dr. Macdonald specializes in a procedure called endoscopic brow lift surgery that requires very small incisions behind your hairline. His technique is less invasive than traditional surgical methods, which means your scarring is minimal while your results are just as impressive.

Dr. Macdonald uses a tiny camera to guide him to the muscles in your forehead that need to be repositioned or deactivated, and he also removes the excess fat and tissue that causes drooping.

Choosing the right procedure

Regardless of your cosmetic issues, multiple procedures can address them, from minimally invasive to advanced surgery. The good news is that you don’t have to navigate your choices alone. You can rely on Dr. Macdonald’s expertise to guide you through the process. He takes the time to get to know you, your history, and your goals.

But which procedure to get isn’t the only decision you face — you also need to choose the right professional to perform it. Beware of nonmedical injectionists who claim to know how to administer BOTOX, Dysport, and dermal fillers. It pays to seek out an expert like Dr. Macdonald, who understands the intricate relationship between and function of the major and minor muscles in your face. Targeting the wrong one can leave you with a “frozen” face incapable of expressing itself.

When you’re ready to take the next step toward a smoother, more youthful face, give us a call or request an appointment online to begin the process.

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