Please tell me who is a good candidate for each of these surgeries and what results can be expected.
The blepharoplasty operation is done when there is excess skin touching the upper eyelashes and the eyebrows are in good position relative to the eyelids and eyelashes.
When the brows are very low, a browlift should be considered. A brow-lift is made through a series of incisions in the forehead to raise the eyebrows and soften the scowling complex of the forehead and eyebrows.
Brow lift or Eye lift - which one do I need?
This is a key decision and one that you should consider carefully before proceeding ahead. The fact is that most people with heavy eyelids have a combination of droopy brows and excess eyelid skin. The important thing is to decide whether it is a brow lift or an upper eye lift that gives you the best cosmetic outcome. In some individuals, both procedures may be necessary to get the best possible outcome.
First, let's take a look at the ideal brow position in a woman. The inside corner of the brow begins at the root of the nose, and gently climbs to higher level, reaching its peak typically somewhere half way between the pupil of the eye and the outside corner of the eye, and then dropping down at the temple. While in a woman the brow is ideally above the level of the bone and curves upward on the side, in a man, the brow is typically at the level of the bone and tends to be more horizontal.
Now that we have an idea of the ideal brow position, a rather simple test can be performed to see whether you are a good candidate for a brow lift:
If your brow is resting in a good position but there seems to be excess fullness and folded skin obscuring the crease of your eye, then you may be a better candidate for an upper eye lift. Results of an upper eye lift are more difficult to simulate than a brow lift. An eyelift can typically improve the excess droopy skin that covers the cease of the upper eyelids and in some people can even rest on the upper eyelashes. Eye lifts do not elevate the brow position, and, in fact, can sometimes slightly lower brow position. Lower blepharoplasty or lower eye lift can improve bagginess of the lower eyelids and the excessive wrinkling that some of us get on the skin of the lower eyelids.
For more information and before and after photos visit:
http://www.seattlefacialsurgery.com/html/eyelid_n_brow_lift.php
A browlift and a blepharoplasty are totally different procedures. The only thing they have in common is the shared goal of rejuvinating the uppr lid and brow region. If your brows are low, a browlift can usually be done endoscopically to lift the brows to a conservative level to create a younger, less stern or angry look. If the brows are in reasonable position, and there is extra skin or fat in the upper eyelids, a blepharoplasty can provide a beautiful rejuvination. Upper lid surgery is far simpler than a browlift and browlifts are far less commonly peformed since the advent of Botox to treat wrinkles in the forehead and even provide a subtle chemical browlift.
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