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?

Upper Blepharoplasty or Brow Lift for heavy eyelids?
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15 answers to “Upper Blepharoplasty or Brow Lift...”

A: Upper Blepharoplasty Less Invasive Than Browlift

Tanveer Janjua, MD

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... more

A: Blepharoplasty vs Brow Lift

Farbod Esmailian, MD

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... more

A: treatment for heavy eyelids

Elizabeth S. Lee, MD

Your photo provides a limited view of your face, but I will assume that your left eye and brow are similar to your right.  The most striking thing I see is that you have what we call a "prominent eye." Your upper lid sits above the colored part of your eye.  "Typical" lid position... more

A: Blepharoplasty vs Brow Lift

Michael A. Persky, MD

Hi Lapcas, Stay away from a brow lift.  If you have normal thyroid hormone levels, then based on an examination you would likely be a candidate for very conservative excess skin (only) removal of your upper eyelids to correct your "heavy" lids without creating a "bug eyed"... more

A: Consider a conservative blepharoplasty or no procedure at all

Min S. Ahn, MD

Your eyebrows appear to be in good position. An easy way to tell is to close your eyes, relax your forehed and brows and feel where the tail of your eyebrow is located relative to the rim of your eyesocket. Ideally, you want the tail to sit above the rim (at the rim for men). You also do not appear to have... more

A: Avoid blepharoplasty or browlift here.

David C. Pearson, MD

The most obvious feature in this photograph is the degree of upper eyelid retraction. Normally, the margin of the upper eyelid should lie a few millimeters below the upper edge of the iris, whereas in your case the lid margin lies just at that iris margin (the limbus). A blepharoplasty or even a browlift... more

A: Brow position and upper blepharoplasty

Ricardo Izquierdo, MD

 Your brow position appears to be adequate.  Ideally, there should be an arc from the most medial part of the brow extending laterally an placing the tail of the eyebrow slightly above the medial brow.  You have that shape as well as the tail of the brow ending above the orbital rim (edge of the... more

A: Upper Blepharoplasty or Brow Lift for "heavy eyelids"?

Peter A. Aldea, MD

Dear Lapcas, I am having a great deal of problem recommending a cosmetic procedure based on a single photograph in which only your right eye is shown. Based on what I see, you have a moderate degree of proptosis (your eye ball sticks out past the rim of the socket). The upper lid BARELY reaches the iris while... more

A: Leave brows alone

Marcus L. Peterson, MD

I think your brow location and shape is very good, I would not change this.  The photo does not show a lot of excess skin of the upper lid but this could be assessed with an examination to see what it looks like in person.  An upper lid blepharoplasty might be able to allow a little more show of the... more

A: I wouldn't do either; Consider Botox

Stephen Prendiville, MD

I agree that you have well positioned brows with a slight lateral arch.  I also agree that you have minimal skin excess in the setting of having prominent eyes.  I think in 5-10 years, you may make a more convincing case for surgery. However, at this time, I would be hard pressed to suggest a... more

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