I have just turned 35 and noticed that my eyes are starting to look old. My eyebrows have dropped slightly and my upper eyelids always look tired and little puffy no matter how much I sleep. I have also noticed that my eyes no longer look as open and have the nice almond shape they had when I was in my 20's. So I would like to know if a brow lift combined with a blepharoplasty would be the right procedures to fix the problems I just mentioned or would just a brow lift by it self be sufficient?
The level of the brows in the picture is indeed slightly low. Sometimes it is best at age 35 to just perform the upper blepharoplasty. A browlift can always be done later; however, it is important that the brows are not lifted too much, which would give a surprised look
Based on your picture alone, I would be careful recommending any surgery. You are certainly very young, and should not take this lightly. It is possible that conservative brow lift or possibly upper blepharoplasty will help you feel better about your eye appearance. I would find a surgeon that you can develop a good relationship with, since this is likely to be one of the many maintenance procedures you will have over the years. Did you like your nose surgeon? If you did, talk to him or her. Do you have someone doing your Botox and Restylane injections? If you are comfortable with this person, talk to them about your concerns. I have similar patients, and yes, they have many procedures over the years, and yes, the question of BDD always comes up. I would make sure you find a doctor that you feel very comfortable with, discussing your issues, and who will listen and keep your interests in mind as opposed to someone who will do things just to do them. It will be really important for you to develop a plan with your doctor, and not do things based on internet recommendations.
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