Browlift is an option, but hold off on blepharoplasty

William Portuese, MD answers: Am I a good candidate for Brow lift and Blepharoplasty?

My eyebrows droop inwards too much, and I always have to lift the inner area up to stop the heavy feeling from my forehead and to keep from having an angry looking expression (which has caused deep forehead wrinkles). My upper eyelids always look a little puffy no matter how much I sleep.

Would a brow lift combined with eyelid surgery be the right procedures to fix the problem, or is there anything else you would recommend me to do? Attached is a picture of my normal, relaxed expression.


William Portuese, MD
2 months ago

According to the picture the patient has brow ptosis and a browlift would seem to be in order. I would probably hold off on doing blepharoplasty based on the amount of excess skin present once the brows are lifted and resuspended. You can always perform blepharoplasty as a secondary procedure down the road if needed. During the browlift, the corrugator muscle complex can be softened along with the frontalis, creating forehead and frown lines.

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