Why Horizontal Nasal Bridge Wrinkles and Eyelid Ptosis Occur Together, and the Role of Brow Lift Surgery

Among those who come to a plastic surgery clinic for upper eyelid ptosis, there is a surprisingly common question.

It is about the horizontal wrinkle that forms on the bridge of the nose.

Although eyelid drooping and nasal bridge wrinkles may seem like completely different problems, in many cases they begin from the same cause.

• Why do eyelid ptosis and nasal bridge wrinkles appear together? -

As the face ages, the scalp and forehead tissues are gradually pulled downward by gravity.

This process leads to two changes.

Horizontal nasal bridge wrinkle. Upper eyelid ptosis. Brow lift in the 60s. This is a partially modeled image with consent for public release.

• As the upper eyelid becomes pressed down, ptosis occurs

• Repeated force is applied to the glabella and nasal bridge area

• Horizontal wrinkles deepen and the tissue becomes thicker

In other words,

👉 Eyelid ptosis + horizontal nasal bridge wrinkles are the result of the same structural change.

• Why brow lift surgery matters -

In such cases, simply correcting only the eyes or performing a procedure only on the wrinkle area makes it difficult to achieve a fundamental improvement.

A brow lift raises the sagging forehead tissue upward,

👉 addressing the cause of eyelid ptosis 👉 and reducing the force applied to the glabella and nasal bridge area.

In other words, it can be seen as a treatment that improves the cause itself, not just the visible symptoms.

• Key point of glabellar dissection -

One of the important steps in a brow lift is to adequately dissect and weaken the muscles in the glabella.

There are muscles in the glabella that create wrinkles, and if the strength of these muscles remains strong, they pull the forehead flap downward, which can leave horizontal wrinkles even after surgery.

Brow lift corrugator muscle. Glabellar muscle dissection. This is a partially modeled image with consent for public release. Therefore,

👉 only when the tension of the glabellar muscles is reduced

can the horizontal wrinkles on the bridge of the nose and the glabellar wrinkles improve together.

• Key point of outer eyelid lifting -

To naturally improve sagging on the outer side of the eyes as well, more extensive dissection downward is needed than one might expect.

Brow lift dissection process. Outer canthal fascia dissection. Lateral canthal raphe dissection. Partially modeled image with consent for public release.

Especially,

👉 dissection must extend to the lateral canthal raphe (the fascia around the lateral canthal ligament, lateral canthal raphe) area for smooth lifting of the outer eyelid.

If this process is insufficient, the inner side of the eye may improve while the outer side remains unchanged, leading to an unnatural result.

• Changes after brow lift surgery in a patient in their 60s -

Brow lift in the 60s. Brow lift review. Before and after brow lift. This is a partially modeled image with consent for public release.

Before and after brow lift in the 50s. Brow lift review in the 50s. Before and after brow lift in the 60s. Brow lift review in the 60s. This is a partially modeled image with consent for public release.

Before surgery,

• eyelid ptosis was pronounced
• the nasal bridge was thick and horizontal wrinkles were established

After surgery,

👉 the eyelids were lifted naturally 👉 and the nasal bridge wrinkles were softened

Overall, the impression changed to something much softer and more youthful.

• What is the recovery process after a brow lift like? -

Brow lift swelling. Brow lift recovery process. Brow lift day 10. This is a partially modeled image with consent for public release.

10 days after surgery

• This is the time for stitch removal, and while some bruising and swelling remain,

• washing your face and applying makeup are possible, so it is a time when you can return to daily life.

6 weeks after surgery

• During the sensory recovery process, temporary abnormal sensations or

• a pulling or tight feeling (scar tissue response) may appear.

3 months after surgery

• The scar gradually stabilizes

• and the sensory nerves also mostly return to normal during this period.

Eyelid ptosis and horizontal wrinkles on the nasal bridge

are not separate problems,

👉 but changes that appear together during the same aging process.

Brow lift review. Endoscopic brow lift review. This is a partially modeled image with consent for public release.

In such cases,

rather than simple partial correction,

👉 fundamental improvement through a brow lift

can create a more natural and balanced result.

Brow lift in the 60s. Brow lift in the 50s. Before and after brow lift. Before and after endoscopic brow lift. This is a partially modeled image with consent for public release.