Make sure you review the position of the brow through the years

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.

Browlift and blepharoplasty (upper) are not mutually exclusive procedures--they can be done in conjunction. In some cases, neither procedure will address your particular problem. It all depends on proper evaluation of the eyelid/brow complex, as well as a detailed discussion of your concerns and your surgeon's aesthetic sense. 

In my experience, I think browlifts tend to be overutilized, and can give a surprised/startled look. On the other hand, upper blepharoplasty when performed too aggressively can make you look skeletonized, "operated", and/or unnatural (eg, kenny rogers!). 

Make sure you seek a surgeon (facial plastic, plastic, oculoplastic) who is not just experienced doing eyelid/brow procedures, but also has aesthetic ideals that matches yours.

Hope this helps!

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