Eyelid Surgery: Q&A

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Upper Blepharoplasty or Brow Lift for Heavy Eyelids?

I am 30 with heavy eyelids. There is no fat, just excess skin. I am wondering whether I am a candidate for an upper Blepharoplasty or a Brow Lift.

I feel like there is a lot of space between my brows and eyes and a brow lift might look strange. I've seen a few doctors and received a host of responses - some say my eyes would be easy to do, some thought it was hard, and one said to leave them alone because I might look bug-eyed? Thoughts?

21 Doctor Answers | Asked by lapcas in Los angeles, CA
+1

Upper Blepharoplasty and/or Brow Lift for Heavy Eyelids

You will receive many responses on this forum as well. Determining between upper blepharoplasty and / or brow lift to rejuvenate the periorbital area can only be determined after a comprehensive examination in-person. Based on the single photograph, I agree that one has to be cautious about removing skin with an upper blepharoplasty, especially given your young age. Your right eye does appear to be protruding, and removing skin makes it appear more protruding or bug-eyed. You lack a... more
+3

Upper Blepharoplasty, Not Brow Lift Is best For You

Thank you for your question. The high point of your eyebrow-the junction of the outer 1/3 with the inner 2/3 should be 1 centimeter above the bone of the eye socket. From your photo I believe your brow position is normal. A Brow Lift would make the Brow too high and might create the "Deer in Headlights" appearance. Although you are young, you do have excess upper Eyelid skin which is encroaching on the eye lashes-a condition called Dermatochalasis. I see no reason to wait until you... more
+2

Upper bleph vs browlift - I'd vote for neither

At 30, you are young for either procedure, plus your unique anatomy which sets you up to have eyelid closure problems if either procedure is overdone even to the slightest degree. You certainly don't need a browlift and quite honestly, the upper lid bleph would need to be so conservative that you would hardly look any different. My vote would be to do nothing for now and save your money and avoid the risk for very little potential gain.

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+2

Blepharoplasty or Brow Lift

Although photographs alone can be deceiving, it appears that in this particular photo your brow is nicely positioned and conservative resection of upper lid skin will likely give you a very pleasing result with minimal discomfort or downtime. I would agree that you do not want your brows positioned any further apart than they currently are.
+1

High brows look old, don't do it!

Just a tiny little skin trim will give you a cleaner upper lid, hard to say from photos but sometimes actually filling (with restylane) corrects subtle deflation that may be the actual problem.
+1

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+1

Blepharoplasty or brow lift for heavy eyelids

According to the pictures, there is no need to do a browlift. The distance between eyelashes to the brows is acceptable. The upper eyelids are full, and there is some orbital fat in both the middle and medial compartments of the upper lid, which can be slightly teased out and removed. There is a small amount of excess skin on the upper lids that can be also removed. A conservative blepharoplasty would be the best so as not to make the eyelids look bug-eyed.
+1

No brow lift when brows in good position.

Hi. 1)  You do not need a brow lift, because your brows are where they should be.  A brow lift will give you a startled look. 2)  You look like a good candidate for a simple upper blepharoplasty.
+1

Upper Blepharoplasty Less Invasive Than Browlift

You have extra skin in in your upper eyelids. The brow is not that low. Given mild proptosis (bulging of the eyeballs) you should get checked by an internist for any possible thyroid problems and also see an ophthalmologist. Once you ar cleared by them you should have a very good result from upper eyelid Blepharoplasty Regards
+1

Blepharoplasty vs Brow Lift

As others have mentioned, you do have a prominent eye with some lid retraction. Your brows appear to be in pretty good position and you will likely be a candidate for conservative excision of upper eyelid skin, blepharoplasty. I believe this would give the result you are looking for without the surprised look! Good luck.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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