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Am I a Good Candidate for Brow Lift and Blepharoplasty?

asked 2 years ago by dbk101 in Reseda, CA
Latest answer by Joseph N. Togba, MD
Question viewed 2,887 times
Tags: eyebrows, eyelids, forehead, male, droopy

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.

17 answers to Am I a Good Candidate for Brow Lift and Blepharoplasty?

Candidate for browlift?

You look awfully young to be having this type of surgery. Many patients simply have a more "brooding" brow, and do not need to try to conform to many of the published norms for brow positioning. Instead of making the patient look more handsome, excessive surgery can have the unintended consequence of making people look bizarre. There are plenty of models whose characteristics resemble yours. If excessive frowing is an issue, Botox or Dysport are options to relax the muscles. A... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

Am I a Good Candidate for Brow Lift and Blepharoplasty?

Your concerns make me believe that Botox is your best answer. An eyebrow lift would raise the eyebrows, but is that what you really want? If you manually lift up your eyebrows, is that the cosmetic look you want to achieve? The angry look and heaviness of the inner area of the eyebrows as you describe it would probably be improved with Botox to your frowning muscles. It is a quick procedure and in 3 to 5 months it goes back to the way you were if you don't... more

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Brow lift vs eyelid surgery

I fully agree with my colleagues that advise you to do nothing. Your brow position is normal for your anatomy. The inner aspect of your brows are over the margin of your orbital rim (normal position).

Joseph N. Togba, MD
Oakland Plastic Surgeon

www.josephtogbamd.com

Conservative options first

We all agree that you do appear young and youthful. Whatever you decide to do, a blepharoplasty will not help you and may make things worse. A brow lift will likely help, but I would be hesitant to perform that unless it really interfered with your life. Try the more conservative options first.

Edmon Pierre Khoury, MD
Dubai Facial Plastic Surgeon

Browlift is an option, but hold off on blepharoplasty

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.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Try Botox to elevate your brow before considering brow lift surgery

I do see the medial (near the nose) depression of your brow which is bothering you. A brow lift with resection of the frown muscles will improve your medial brow position. However, this would leave scars which are unacceptable on a young person like you. Comboining brow lift with blepharoplasty is very risky as often this leads to difficyulty with eye closure so I would not do both. Botox can be used to relax the muscles which pull the brow down and actually lift the brow about 6... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Browlift and blepharoplasty in a male

It appears as though your eyebrows are in a good position for a male. If you lift your eyebrows, it may give you a surprised look and you may not be happy. However, removing some of your upper eyelid skin may help to get rid of the tired look of your eyes and improve their appearance.

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Blepharoplasty and Browlift

Judging your photos, I would agree with the rest of the surgeons here. You have a youthful appearance and have a male position for the eyebrows. You are not a candidate for any periorbital surgery and would recommend like the rest about perhaps some subtle grooming of the eyebrows. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Browlift and eyelid surgery

Your photo shown looks like that of a youthful upper 1/3 of the face. I do not think a browlift or eyelid surgery would be recommended.

Steven Wallach, MD
Manhattan Plastic Surgeon

Proceed with caution

Your pictures depict what appears to be a very young individual. This is great news! I have to agree with the other excellent surgeons here and recommend that you avoid a blepharoplasty and begin with subtle grooming of the eyebrows. If this does not achieve your goals you may want to consider a brow lift. However, the effects should be subtle and the brooding appearance may recur.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Too Young

From the looks of your photo, a brow lift would be the wrong thing to do. I would give you a feminizing look and based on estimates of your age, it would not last long. I think the best thing for you is to see an experienced esthetician in eyebrow shaping by waxing and tweezing at a salon. Shaping your brows in more of an arch will be the best solution.

Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon

Endoscopic forehead lift is a very good option for you

Dear Dbk In looking at your photograph, I am almost certain that a forehead lift alone will be what you need to improve the appearance of the upper eyelids. This would allow preservation of the upper eyelid fold. It is important for a masculine appearance to maintain as much of the upper eyelid fold as possible. BOTOX will soft the muscular pinch at the eyebrows but the effect is short lived and I suspect that the effect will not be dramatic enough for you to be satisfied that it is... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Brow Lift and Blepharoplasty

Your brows are very heavy and low. Having said that, you could try botox but I don't feel it would make a significant difference. A brow lift would be your best choice. Do not do an upper eyelid blepharoplasty because this could pull the brow down further. Trimming the eyebrows may also be helpful.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

You look very young?

To me I would try to obtain a pharmacologic browlift using either Dysport or Botox. I definitely would not consider an upper Blepharoplasty. The possibility of a browlift should be addressed if the injectable treatment does not satisfy your needs.

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon

Botox first

You do have a low sitting brow and possible hyperactivity per your question. However, you are too young for any surgical intervention. You are much better off trying Botox to raise your brow. Best of luck!

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

Botox

Your brow and eyelid anatomy probably hasn't changed much and this is how you have always been. Surgery is not the best answer, especially if you are happy with your relaxed expression look. Botox is an answer if getting wrinkles and angry appearance is what bothers you.