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Will Forehead Tucks Help Make the Eye Area Less Droopy?

asked 3 years ago by truecolors
Latest answer by Sam Naficy, MD
Question viewed 1,636 times

Someone suggested "forehead tucks" on each side of the forehead to make the area under my eyebrows and over my outer eyelids look less droopy. I had a blepharoplasty in 2003, although I was not happy with the results because there's too much scarring and my eyes are uneven.

Do you surgeons feel that the bilateral forehead tucks would improve my appearance? I have permanent eyebrows tattooed on, but will get them lasered off.

15 answers to Will Forehead Tucks Help Make the Eye Area Less Droopy?

Forehead lifts can cause the eyebrows to be unnaturally high

My personal opinion would be to defer surgery at this time. Although the extra skin on the outside of you upper eyelids would likely be improved with a forehead lift, I have concerns regarding the final appearance of your eyebrows. If nothing were done to the eyebrows they could end up being unnaturally high and give you a look of constant “surprise.” You mentioned that they are currently tattooed and that you could have the tattoos removed with a laser. I am concerned that the... more

Wayne I. Yamahata, MD
Sacramento Plastic Surgeon

No browlift for you

Your eyebrows appear to be in good position and do not look like they need to be raised. If you raise them, you will end up with an unnatural "deer in the headlights" look. It may be necessary to fixate the brows so that they dont pull down once the excess eyelid skin is removed but I would not raise them. From your photo, it looks like you have always had full upper lids. Re-inflating that area and removing excess skin will give you a more rejuvenated appearance than raising the... more

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

Endoscopic Browlift is the procedure of choice

While I cannot see your hairline in the picture it appears that a conservative endoscopic browlift would be very helpful. If your hairline is already elevated then a modified endoscopic browlift using a trichophytic "pre-hairline" incision would be indicated. As far as laser removal of the tatoo, be very careful, since you can potentially lose any remaining hairs in your eyebrow.

S. Randolph Waldman, MD
Lexington Facial Plastic Surgeon

Forehead lift for droopy eyes

You are much more likely to benefit from lower eyelid retraction and upper eyelid ptosis repair procedures than you are from a forehead lift

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Forehead lift or not

I think in your particular case, a forehead lift would not be the best thing. You have the chance of looking surprised due to the eyebrows ending up to high along with pulling the skin too tight over the bone of the brow. Pulling the forehead just laterally would lead to an unnatural pulled appearance in your case and I would stay away from that. I think a conservatively performed blepharoplasty or eye lift would give a subtle yet worthwhile improvement though.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Droopy eyelids and forehead lifts

It is somewhat difficult to tell whether or not you would be a good candidate for a brow lift without a thorough examination. You expressed some dissatisfaction with your earlier blepharoplasty related to scarring and asymmetry. It is possible that a revision of your eyelid surgery may be helpful. From the photo you posted, your brows appear to be in a fairly satisfactory position but this is where an exam will be able to help. I, too, would caution you against having... more

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon

Browlift for treating the droopy eye area

Blepharoplasty with or without browlifting (typically via an endoscopic approach) are procedures that treat outer droopy soft tissue of the upper eyelid and brow. Simply performing belpharoplasty for removal of the outer hooding is a possiblity for you, but a thorough examination is necesary to determine what is contributing to the droopiness in your situation. You mention that your eyebrows have been tattooed on, so I would assume that your natural brows are much... more

Thomas T. Le, MD
Baltimore Facial Plastic Surgeon

Forehead Lift

Based on the photograph shown, I would not suggest raising your brows any higher than they currently are. However, one way to simulate a browlift non surgically is via Botox injection into the lateral brow; you might want to try this first before considering surgery to see if you like it. In the picture shown, the lower lids have some degree of retraction and scleral show. Addressing this concern will provide both aesthetic and functional improvement.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Forehead lift versus blepharoplasty

Hi. In the normal, attractive female, the brow position should be at, or slightly above, the rim of the bony eye socket. Judging by your photo, your brows are positioned at this correct location. They do not need to be elevated any higher - that would be abnormally high, and could look overdone, if operated on. So, on that basis, I would not recommend a brow lift for you. Good luck!

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Many effective ways to lift the forehead.

Patients today have many options to change the shape and position of their forehead and eyebrows. Many techniques can be performed very small incisions that are well hidden in the hairline. It is most definitely possible to rejuvenate the forehead, erase wrinkles, and place the brows in a more attractive appearance without creating a peaked brow or altering the shape of your eyes. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in brow... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

A forehead lift will make eyes look less droopy.

After eyelid surgery some patients still have a droopy look to the upper eyelid (usually laterally). This is a bigger problem in men than in women because of the projection of the male forehead (it sticks out further). Treatment is not taking out more eyelid skin. Raising of the forehead is the solution. However, it must be decided that the benefits outweigh the costs of the operation.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Challenging eyelid situation

The brow is usually a contributor to the appearance of "drooping upper eyelids." How much so depends on the individual patient's anatomy and changes from ageing. The position of brow pencil, tattoo or other modalities merely place a mark where the patient would like thier brow to be. The difference between true brow skin and true upper eyelid skin is more significant. Eyelid skin is thin and does not have a fat layer directly under the skin. Forehead/brow skin is thicker, has more... more

Evan Black, MD
Detroit Oculoplastic Surgeon

Brow lift of the eyebrow improves upper eyelids

Your photograph demonstrates classic signs of aging of the upper eyelid & brow area. The sides of the eyebrow start drooping more severely, and gives the appearance of excess upper eyelid skin. You're tattooed eyebrows appear in good position, but the natural eyebrow has descended with age. I'm not familiar with the term forehead tuck. A brow lift that repositions the eyebrow may be an appropriate cosmetic solution for you. Brow lift, also known as a forehead lift or face lift of the... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Forehead/Browlift

It is difficult to answer, because your tatooed brows appear to be in good position. A forehead/browlift will decrease hooding (the fullness between the eyebrows and the eyelashes). This procedure will also raise the eyebrow hair. I cannot tell if there is any residual hair in the lateral brow. If you elect to have the browlift, make sure you do the laser work first to be sure there is not any residual pigmentation which would end up higher on your forehead. During your consultation ask... more

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

It is really a bad idea to remove eyebrows.

I am not sure what "forehead tucks" are, but presumably it is what some call "temporal lift". You should be careful with it since it may create too much of an exaggerated arch to your eyebrow. I would also caution you strongly about "lasering off" your eyebrows. You eyebrow tattoo overlies your natural eyebrow hair, and they seem to be in fairly good position for your face. Using laser so close to your eyes can be dangerous to your vision. Even if you are... more