In our weekly Post Your Face column, Dr. Robert Freund answers readers' cosmetic surgery questions, and shows them how they'd look if they underwent the enhancement. To post your own face, visit

The Patient's Question: My face is sagging and wrinkling at the same time. I think I need an eyebrow lift, my frown lines between the brows erased, and wrinkles around upper lip banished!

The patient before (left) and after (right) hypothetical surgery. Courtesy Photo

Dr. Freund's Response: Have no fear-there is help for you! In the computer-enhanced version, I tried to demonstrate what you could expect from a browlift, dysport/botox to your frown lines and soft tissue fillers to your upper lip and the area around your mouth. Let me walk you through the procedures.

Brow lifts are designed to elevate the forehead and eyebrows. As we age, the forehead sags and with it, so do the eyebrows. For some people sagging eyebrows make the eyelids look heavy or even closed. Many people will notice large horizontal wrinkles of the forehead. These wrinkles are the body's way of trying to lift the sagging eyebrows.

A brow lift will make the eyelids look more youthful and open. It will also soften the horizontal wrinkles, but in many cases they will not go away. The trickiest part of any brow lift is ensuring that the hairline is not placed too high and also that the eyebrows have a nice arch. The typical cost is $3,500 to $5,000. Recovery is short and most people can return to normal activities within two weeks.

Botox/Dysport: These agents are used to paralyze the muscles that make the frown lines. Both products are safe and equally effective and the effects can last for up to 6 months. Some doctors will surgically remove the muscles that create these wrinkles during a brow lift. The one concern her is if the surgeon removes too much of the muscle; if that occurs you may be left with an unnatural hollow or depressed forehead just above the eyebrows! These injections cost $240-$400.

Soft tissue fillers: Soft tissue fillers come in many shapes and sizes. Each has a unique chemistry that determines the duration of fill as well as the type of wrinkle it is best suited to treat. For instance, some fillers are great for small, fine wrinkles, while others are great for deeper wrinkles or depressions. For you, a filler like restylane or juvederm is ideal. These products can fill the area around the mouth as well as the upper lip. Another great product for filler the upper lip is your own fat, taken from another place on your body and transferred to your lip. My favorite is the Viafill system (that I invented) for transferring your fat.

If you would like more information on skin care, plastic surgery or anything regarding looking better, please refer to my latest book, "A More Beautiful You: Reverse aging through Skin Care, Plastic Surgery and Lifestyle Solutions".

Respectfully submitted,

Robert Freund, MD

The health or medical information in this article is for informational purposes only and is not intended to be used as a substitute for professional medical advice, diagnosis or treatment. Please consult your doctor or a qualified healthcare provider with any questions.