Dropping Eyebrows

The reason we develop droopy eyebrows can vary significantly from one individual to the next.  As we age, gravity can be really mean!  Things start to sag that didn't sag before, and as a result, we begin to age and look older. One of the things that can sag or droop is our eyebrows. Sagging eyebrows are a common condition that occurs in many people and, yes, it happens due to gravity.  The muscle that holds the eyelids and eyebrows up in their natural position becomes strained and overworked, then your brow and eyelids start to move South.

Sometimes medical conditons will cause your eyebrows to droop, like a stroke perhaps or other conditions that may cause paralysis.

Drooping brows can make us look older, and make us feel self-conscious and can make you appear upset or angry, even when you're not. 

There are several popular options available to counteract the effects of droopy brows, all of which are generally safe and have mild risks associated with them.

Here are a few ways to lift your brow before choosing plastic surgery

Injectables Such as Botox, Dysport and Xeomin 

Botox, Dysport and Xeomin can help smooth lines and wrinkles across your forehead and elevate your brow, giving you a brighter and refreshed look.  All three are neuromodulators and they use naturally occurring bacteria to relax the muscles of the face. That relaxing effect zes and softens wrinkles, worry lines and other signs of aging.  Using neuromodulators to lift your brow and soften lines has been the gold standard, non-surgical solution for over a decade. Sylvana Med Spa in Frederick, MD is recognized as a leading provider of neuromodulator injections in the Frederick County region. We were also the first in the area to introduce Xeomin and we are known for our experience, artistry and natural-looking results.

How Does They Work?  Neuromodulators effectively weaken or  paralyze certain facial muscles to prevent them from contracting.  This effect is tempoary and should last a few months.  Because your forhead muscles will be relaxed, the expression wrinkles on your face will smooth out since they can no longer contract.  At Sylvana, we consider neurotoxins a the best was to temporarily reduce forhead wrinkles.  

What is the Process Like?  Using a tiny needle, we inject Botox Dysport or Xeomin directly into the muscle to be relaxed.  Our goal is a natural look, so we place the injections in a composed way that reflects the unique pattern of your facial expressions and focuses on the specific lines and wrinkles you want to smooth out. 

What is the Process Like?  Using a tiny needle, we inject Botox Dysport or Xeomin directly into the muscle to be relaxed.  Our goal is a natural look, so we place the injections in a composed way that reflects the unique pattern of your facial expressions and focuses on the specific lines and wrinkles you want to smooth out. 

How Soon Will I See Results?  Botox, Dysport and Xeomin begin to work in about three days and the wrinkle-smoothing response approaches maximum results in about two weeks. Many clients see continued smoothing up to 30 days. When you return for your complimentary two-week follow-up visit, we expect to see significant smoothing. At that time, we can supplement any areas that will benefit from additional injections.

How Long Do The Benefits Of Botox Last For most people, visible results generally last from three to four months. For many clients, benefits accrue over time. That means they may need fewer injections to get optimum wrinkle-smoothing results. As with all non-surgical procedures, a regular schedule of appointments can maintain and often increase the visible benefits of treatment. In general, three annual appointments maximizes and maintains the benefits of neuromodulator injections.


Of course, following all the principles of a personalized skin care routine will keep your skin at its healthiest and make you look your best. That includes drinking plenty of water throughout the day, applying sunscreen 365 days a year, and using medical-grade skin care products. As part of your initial Complimentary Consultation, we create a Sylvana Solutions Treatment Plan that is unique to you. It provides a road-map for addressing your specific concerns and helping you gain and maintain maximum benefits.

Are There Side Effects?   Neuromdulators can have side effects when not performed properly.  It could lead to droopy brows and eyelids if too much is injected in the brow  since the muscles in the forehead would not be able to raise your brow.  

Why Do We Offer All Three—Botox, Dysport and Xeomin?  All three neuromodulators work in the same way, only the manufacturers are different. All three are FDA-approved. Many consider them to be interchangeable and only carry one or two. We carry all three in order to ensure the best value and maximum results to every one of our patients. If there is a special offer on one—alone or in combination with other products—we alert clients to that option. That’s the value part. For a small number of people, one neuromodulator is slightly more effective or long-lasting than another. In such a case, we will recommend the most effective product.

Before You Consider Getting Botox, Dysport or Xeomin Anyplace Else.....  At Sylvana Med Spa, all of our Certified Aesthetic Consultants bring extensive experience, training and artistry to using Botox, Dysport and Xeomin. Here's why this is important:  when neuromodulatores are applied with a heavy hand or by someone without significant training or experience, the result can be an unsatisfying "frozen" look. 
At Sylvana Med Spa, you will benefit from our medical aesthetics training, professional experience, deep understanding of the science of skin and dedication to providing you with a wonderful experience. That experience begins with a Complimentary Consultation where we listen to your concerns and perform a scientific evaluation of your skin using the Visia Complexion Analysis System. To complete your consultation, we make recommendations in the form of your unique Sylvana Solutions Treatment Plan—a roadmap for achieving and maintaining the results you want.

Dermal Fillers

Dermal filler injections work by plumping up the skin. This treatment fills in the wrinkles and loose skin caused by age-related reduced skin elasticity. Dermal filler injections can elevate your eyebrows, resulting in a more open and refreshed-looking appearance. By filling in loose skin in the brow area, dermal fillers reduce the visible effects of aging and make the eyebrow area appear more youthful  .At Sylvana Med Spa we recommend dermal fillers such as Juvederm, Restylane, Restylane Silk, Belotero, Radiesse and Voluma to restore volume to facial areas that are sagging.  Results are immediate and fillers are the place we often begin for a complete facial rejuvenation.  Because of their effectiveness in adding fullness to your sagging brow area,  treatment with Juvederm, Restylane, Belotero, Radiesse and Voluma are among the fastest-growing non-surgical aesthetic procedures used in the United States.

Are There Side Effects?  The most common side effects include temporary injection site reactions such as redness, pain/tenderness, firmness, lumps/bumps, bruising, itching and discoloration. Most side effects are mild or moderate and last no longer than a week.

Titan Skin Tightening

A skin tightening procedure that is popular at Sylvana and is a treatment of choice among patients is Titan Laser Skin Tightening. This non-surgical sagging skin treatment lifts and tightens eyebrow skin by stimulating collagen contraction.

Cutera’s Titan Laser technology lifts and tightens sagging skinwithout the downtime and risks of surgery. We often use Titan laser treatment in combination with other Sylvana procedures and medical-grade products as part of a non-surgical facial rejuvenation.

How Does Titan Work?

The Titan Laser rejuvenates the skin at a deep level by delivering light energy and heat to the dermis. Infrared optical light creates tissue tightening by heating the dermis, thereby remodeling the collagen and elastin for a visible lifting effect. In addition, Titan stimulates long-term collagen rebuilding which results in further tightening. If you desire tightening in areas other than the face or neck, our Vaser Shape body sculpting treatment offers visible results with no recovery time!


How Is Titan Different From Thermage?

Titan uses infrared light, while Thermage uses radio frequency energy. Unlike Thermage, Titan’s cool technology reduces the burning sensation that patients sometimes experience with Thermage.


What to Expect

A Sylvana Clinician will treat your face with a series of pulses. With each Titan pulse, you’ll feel a brief sensation of heat. At the same time, your skin’s surface—the epidermis—is protected through continuous cooling with a Titan handpiece and chilled gel. Treatment length varies from several minutes to an hour depending on the surface area being treated.


What Are the Side Effects?

Right after the treatment you may have some redness and mild swelling. It disappears in a few hours and you can resume your regular activities right after treatment. You should not expect other side effects.


When Will I See My Results?

Some patients see results right away. For most patients, the results are gradual over a period of two to six months as new collagen is formed and the skin tightens. One treatment already starts you on the path to significant improvement, but we find that three treatments at six-week intervals generally offer the best results.

Why Sylvana Med Spa Is Your Best Choice for Titan

Have you ever seen someone whose results looked uneven or not very effective? Have you ever heard people complain about the pain of Thermage? Those things can happen but they are not the Sylvana way. We are leaders in the mastery of new technologies, so when Titan Laser became an option, we tested it and made it our choice for tightening sagging skin on the face and neck and jowls. Read more about the Sylvana Difference and know that we are praised by our patients for results so natural that most people cannot tell they’ve had a procedure. In fact, many of our patients report that friends, family and colleagues just say that they look “Great!”

Thread Lift

An eyebrow thread lift is designed to tighten the sagging or dropping skin of your eyebrows and smooth away the creases to give you a more youthful and fresh appearance.  

Thread lifts are minimally invasive procedures that effectively lifts, rejuvenates and firms the skin on targeted areas using absorbable sutures (there are a few different kinds). These sutures, or threads, should lift the skin and provide an immediate, noticeable lift resulting in a naturally tighter, more young-looking skin.

Facial Surgery

The American Board of Cosmetic Surgeons says:  A brow lift, also commonly called a forehead lift, rejuvenates the face above the eyes to restore a more refreshed appearance that better reflects a patient’s natural vibrance. By removing excess sagging, skin on the forehead and repositioning the underlying muscles and tissues, a brow lift can correct a heavy, sagging brow, eliminate deep furrows, and restore a smoother, more youthful contour to the upper one-third of the face.

Why Have a Brow Lift?

The problem with an aging forehead is the effect it has on our facial expressions—a sagging, heavily furrowed brow can cause us to look constantly tired, worried or even angry. Some of us are also genetically inclined to have a heavier, thicker brow, making us look as though we are wearing a frown even when we are feeling our best. A brow lift directly addresses these issues, helping patients enjoy a more naturally refreshed appearance as well as other positive changes:

  • Others may find you more approachable, as they no longer mistakenly perceive you as angry or concerned

  • Your eyes will appear brighter and more naturally alert

  • Self-confidence can improve as you are no longer worried about looking “worried”

Skincare Routine

Skincare, especially sunscreen and retinol, play a big role in preventing new wrinkles from forming. Studies show that sun damage normally  accounted for 80% of visible aging, including the majority of wrinkling.   Sunscreen with an SPF of at least 30 should be applied daily to the face prior to any commute or time outdoors to protect your skin. Retinols and Retinoids are also key components to an anti-aging skincare routine. These products are Vitamin A derivatives that have been proven to speed cell turnover and reduce wrinkles over time.

Sylvana Solution Skin Care Products

A leader in the field of professional skin care, Sylvana Solution products are advanced formulas created to deliver fast, superior results in treating numerous skin types and conditions, inluding forehead wrinkles.  

With our Sylvana Solutions Products, we hold ourselves to a starndard of excellence.  We are ALWAYS selective in developing cosmetially elegant formulations that make a remarkable difference in your skin.  Using only the purest, most refine, most potent pharmaceutical ingredients; by tapping into rejuvenating qualities of nature bty adding purified botanical and meneral extracts (such as aloe vera and kaolin clay for example, our Sylvana Solutions products will help you achieve flawless, youthful and healthy looking skin.

Our chemists carefully monitor and control each step of the Sylvana Solution product development stages, making sure the products are safe and allergy tested for even the most sensitive skin types.  The FDA registered laboratory and manufacturing faciliyt which produces the Sylvana Solution products follows the most rigorous pharmaceutical manufactuing standards to ensure safe and effective formulations.

We offer a variety of products, providing us with with numerous product options.  This enables us to offer customized skin care and condition driven regimens. 

Here Are Some Active Ingredients to Treat Wrinkled, Sun Damaged Skin:

Vitamin C:  Vitamin C is a very effective ingredient for any skin care product.  It is a potent anti-oxidant that can neutralize free radicals that damage your skin and boost your skin collagen production, helping skin to become firmer and smoother.

Retinol:  Retinol is a Vitamin A compound.  This was the first antioxidant to be widely used and now some strengths are available over the counter.  Vitamin A is an extremely effective skin rejuvenating ingredient that can dreduce wrinkles and fine lines by speeding up you skins renewal process for firmer, younger looking skin.


Hyaluronic acid:  HA is a pwerful moisture-binding ingredient that can hold 1000 times it's weight in water.  It can retain moisture to keep your skin plump and fully hydrated.  Skin looks smoother and moistureized, whcih improve the appearance of fine lines and wrinkles. 

The Acid Family:  Hydroxy acids, Alpha hydroxy acids, Beta hyroxy acids and Ply hydroxy acids.  These acids can be very effective at exfoliting your skin by removing the uper layer of dead skin to reveal the new skin underneath.  The amounts found in skin care products are not as high as those found in chemical peels but are great for maintaining results.

  • Twitter Metallic
  • Google+ Metallic
  • Pinterest - Black Circle
  • Facebook Metallic

Sylvana Institute Med Spa in Frederick, MD Hours:  Mon, Wed, Thurs, Fri: 9am-1pm & 2pm-5pm
Tues: 9am-1pm & 2pm-6pm
Saturday & Sunday:  Closed


182 Thomas Johnson Drive, Suite 100  |  Frederick, MD  21702  |  Phone: 301-668-0002  |  Email: info@sylvanainstitute.com