Pittsburgh Eyelid Surgery doctors

You have beautiful eyes, however they are hidden and not in full view.  Blepharoplasty would be helpful if you desire a more defined upper lid or desire an eyelid crease.  A browlift would elevate the brows and eliminate some of the hooding seen which mkes your brows appear heavy.  It's purely a matter of taste.   The best thing to do is go for a consult and explore the options.  

I agree with many of the comments made by the other surgeons. Deciding whether to have a browlift, blepharoplasty, or a combination of both is a very individual decision that involves your particular anatomy, your aesthetic sense, and the aesthetic sense of your surgeon.

I believe that a browlift can be an excellent procedure when done for the right indications. However, I feel that that are a good number of browlifts that are either overdone, or should not be performed at all.

I'd like to comment on a point that has not be raised in detail. A critical part of the the consultation involves you and your surgeon familiarizing yourselves with how your brow has moved over the years. This is done by reviewing pictures from decades ago. In some people the brow has slowly descended over time. These patients are more likely to benefit from a browlift. Other patients always had a lower brow. As some other surgeons have commented, fashion magazines are full of beautiful people with relatively low brows. If your brow was always low, a browlift is more likely to give you an outcome that appears unnatural to you.

Reviewing old pictures is important for many facial plastic surgeon procedures, but especially so for the browlift.

Hope that helps.

You should definitely wait at least six months prior to considering a revision surgery. There are a range of conservative measures that should be considered by you and your surgeon during that period of time. These include taping, massage, and possibly a temporary suture to help support the lower eyelid.

The robustness of your lower eyelid support should have been a very important part of your pre-surgical evaluation. This is not to say that your surgeon did not consider this issue. All surgeons that have done a significant number of blepharoplasty surgeries have encountered patients in which the impact on lower eyelid position has been greater than they might have expected. The key thing is to make sure your surgeon is taking a detailed history and physical exam prior to surgeon.