Is a Brow Lift Ever Recommended with Eyelid Surgery for "Westernizing" Eyes?

As a person of Asian descent with very small eyelids, would eyelid surgery alone help "Westernize" my eyes, or would I need a brow lift as well?

Doctor Answers (10)

Brow Lift and Asian Eyelid Surgery Combination

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The Asian eyelid has some very important anatomical differences from non-Asian eyes. One of the most frequent mistakes that plastic surgeons have made is “Americanizing” or “Europeanizing” or "Westernizing" the eyelids; this results in a very unnatural appearance. Deciding if you need an eyebrow lift is usually based on if the eyebrows have become lower than when you were younger. If you’ve noticed that your eyebrows have gotten lower with time and you’re getting lines in your forehead trying to keep your eyebrows lifted, you may be a candidate for an brow lift. However, only with a proper consultation with a qualified cosmetic surgeon who understands the balance of the face and can understand the look you would like be able to tell you what is a realistic option for you.


New York Oculoplastic Surgeon
4.5 out of 5 stars 27 reviews

Asian eyelid surgery to westernize and whether brow lift is also necessary to achieve this

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For the most part, I believe that "no" a brow lift is not required to westernize your eyelid. I think that you should really tell your surgeon what you want though. Westernizing the asian eyelid has become rather a less than optimal way of approaching asian double eyelid surgery. It is frowned upon by most surgeons that do asian eyelid surgery. Through asian eyelid surgery, you can create a crease and open up the medial portion of your eye to markedly increase the aesthetics of your eye. This can be done while keeping your ethniicity. So be really clear with your surgeon.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 37 reviews

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Brow lift with eyelid surgery to "Westernize" eyes

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The brow lift can be performed at the same time as eyelid surgery.  However, a brow lift is performed for very low-set eyebrows.  Most Asians do not have low eyebrows, so it is rare to perform both procedures at the same time.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Is a Brow Lift Ever Recommended with Eyelid Surgery for "Westernizing" Eyes?

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  Brow Lifts are performed for the sole purpose of elevating the eyebrows intop the proper aesthetic [osition.  In doing so, some of the upper eyelid fullness maybe reduced.  Be sure your surgeon understands and follows the proper aesthetics of facial beauty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Browlift with Asian eyelid surgery

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Whether you need a browlift or not depends on your individual anatomy. If you feel your eyes are small vertically, this frequently indicates a mild degree of muscle weakness (ptosis) which is corrected routinely as a part of the double eyelid procedure. You may experience a drop in your brow position, and in some cases a browlift is indicated (regardless of age).

Charles S. Lee, MD, FACS
Los Angeles Plastic Surgeon
4.5 out of 5 stars 43 reviews

Browlift to "westernize" eyes?

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  Asian eyelids can be "westernized" with eyelid surgery.  Brow lifts may be done in conjunction with this surgery if needed, and in these cases, may be beneficial.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.5 out of 5 stars 42 reviews

Asian eyelid surgery should never be about Westernizing an eyelid.

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Asian eyelid surgery is all about preserving natural eyelid character and improving eyelid definition generally by defining a natural double eyelid fold.  In older Asians without a forehead lift, it may be necessary to remove so much upper eyelid skin to do this that one is basically dealing with sub brow skin to make the upper eyelid fold.  This thicker skin does not fold well.  This creates an unnatural look to the upper eyelid.  To address this, it is often better to perform an endoscopic forehead lift and then perform a more conservative double fold procedure in the upper eyelid.  There is no substitute to seeing a surgeon who makes Asian eyelid surgery an important focus of their practice.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 16 reviews

Browlift doesn't Westernize the Asian eyelid.

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Browlift doesn't Westernize the Asian eyelid. It will remove the "hooding", but does not increase the height of the eyelid crease.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Browlift to Westernize Eyes

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If your brows are ptotic or drooping causing the forehead skin to crowd the tissues above the eye, a browlift will be of benefit. Otherwise it would not provide any improvement.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 13 reviews

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.