Seek out the options as well as the risks and benefits prior to making a decision

Otto Joseph Placik, MD answers: Am I a good candidate for a brow lift and upper blepharoplasty surgery?

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?


Otto Joseph Placik, MD
6 months ago

I would urge some caution in proceeding and recommend that you be aware of all the potential consequences. For example, although it is difficult to tell from this picture, a brow lift could potentially elevate your hairline and give you a high forehead appearance. There are options to minimize this side effect such as a pretrichal forehead lift (as opposed to an endoscopic forehead lift) bu the tradeoff is more scarring.

Another alternative is a transblepahroplasty browpexy (or brow lift) type procedure which holds the eyebrow in place and can be performed through the eyelid incision. Surgeons have differing opinions on the true benefits of this procedure.

As you can see there are many options and no surgeon can tell you the correct procedure for you. The surgeon may educate you as to the options available as well as the potential risks and benefits. After becoming more aware of the options, it will be up to you to choose the best choice with the surgeon guidance.

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