Is Brow Lift the Only Option for Deflated Eyelids?

Aggressive upper eyelid fat removal can have the opposite effect-- leave a hollow appearance. This will also result in a relative excess of skin. Removing this skin will only make your eyes appear more hollowed out. In addition, a brow lift will further accentuate this appearance which is why I usually don't recommend brow lift surgery for someone with very deep set eyes. The solution is to replace the lost volume in the upper eyelid as well as the brows and temples. Various fillers can be... more

If you have brow ptosis (brows that are in a lower that ideal position) then a brow lift may be the best option. If your brows are deflated then adding something to them to re-inflate them would be the next best step. Fillers (like Restylane or Juvederm) are very easy to add in the office and really have no downtime when used in that area. Lastly, if you good brow position and only excess skin in the upper eyelid- then either a blepharoplasty or perhaps laser skin resurfacing around... more

Without pictures it is difficult to answer your question. A browlift should be done only if the brows need elevation. Otherwise, a blepharoplasty with skin removal or volume replacement with fat grafts would be more appropriate.

Hi! Of course, it is hard to tell without examining you, but if your upper lids are hollow, a brow lift may not be the best approach.  We have gotten good at restoring volume with micro fat injections.

Be very careful when asking for a brow lift, you might get it. If you look up brow lift results in published papers and before and afters you will see that many surgeons successfully lift the brow. Unfortunately a true brow lift makes patients look scared or surprised! It is almost never necessary to elevate the medial third of the brow. Many women actually benefit aesthetically from a slight lowering of the medial third. On the contrary, there are few women... more

A browlift is done to readjust the level of the eyebrows along with adjustments of both corrugator and vertical lines between the eyebrows and the horizontal frontalis wrinkles in the forehead. It is usually not done for excess eyelid skin. When doing a browlift, it will help with some of the excess upper lid skin. If excess skin is the only item that is bothering the patient, then a simple upper blepharoplasty would suffice.

Hi Kristall - Deflated eyelids may be treated with upper eyelid skin removal or blepharoplasty. it's difficult to determine without seeing you. Also, your eyebrow position may affect the appearance of your eyes. If they are low you may actually need a browlift. Frequently, upper eyelid skin removal is combined with a browlift to fully rejuvenate the area around the eyes. Check out some before and after photos to see what look you're going for. Thank you for your question and good... more

Without pictures, it is difficult to give you a complete answer. However, if your eyelids are "deflated," which I am assuming you have loose skin, then you have three options. 1) replace the fat with fat grafting; 2) remove the extra skin with a blepharoplasty; or 3) have a brow lift to stretch out the skin. These are all options that you should discuss with your surgeon.

I know this may sound somewhat sarcastic but some surgeons advocate fat injections to the area just beneath the outer eyebrow to restore youthful fullness to the eye area. One way of "trying" this out is to use injectable fillers such as restylane.

The answer to your question depends on what your anatomic problem is. Since you didn't include a photograph, I can't be sure but I can go over several different scenarios. If you have excess upper eyelid skin, this will be corrected by removing the loose skin with a blepharoplasty. If your eyebrow position is low, it may appear that you have loose skin on the eyelids when it is really your low eyebrow position that is the cause. This would be corrected with a browlift procedure. Some... more

If your eyebrow position is too low and is causing the skin of your upper lids to bunch up, then a brow lift is a good solution. If your brow position is normal, then a better option would be to have some skin removed from your upper lids.

 If your eyebrows are in a good elevated position, then you should address the lids directly with either skin removal or volume replacement.  If your brows are low and elevating them makes your eyelids look better, then a browlift is indicated.