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Browlift Vs Blepharoplasty - Which is Best for Sagging Eyelids?

Is a brow lift (forehead lift) better to raise sagging eyelids than a blepharoplasty?

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Usually both

Browlifts and upper eyelid blepharoplasties do different things. It is a mistake to try to do a really big browlift to make the upper eyelids look good, or a really big upper eyelid surgery when the brows have become heavier. It is usually better to have each procedure performed conservatively, and avoid an exaggerated look or an upper eyelid that appears still heavy once the brows come down again, which they almost always do due to the powerful closing muscles of the eye acting over time. ... more

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Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Browlift vs blepharoplasty

Every time I see a new patient in my office for consultation, after listening to their needs & concerns they get a full comprehensive evaluation. At end of the evaluation depending on the patient’s individual anatomy I come up with a customized treatment plan. Now because of the proximity of the brow to the upper eyelids and variations in anatomy and the aging process, each person will have different contributions to the sagging upper eyelids. Some people will have severe brow... more

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Kami K. Parsa, MD

Los Angeles Oculoplastic Surgeon

+12

Brow Lift Vs. Blepharopasty

The eyes are the primary facial feature that communicates tiredness or exhaustion (and, likewise, energy and vitality). Your cheeks and your neck don't really reflect whether or not you've had a good night's rest. But miss a night of sleep and your eyes will make it obvious to everyone. Aesthetic plastic surgery of the eyelids can produce a dramatic rejuvenating effect, literally taking years off of a person's appearance. Interestingly, many patients find that... more

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Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

Throughout one's lifetime, the four muscles that...

Throughout one’s lifetime, the four muscles that contribute to eyelid closure tighten and relax millions of times due to actions as slight as blinking to as strong as squinting in the sun. These four muscles are opposed by only one muscle that raises the eyebrows. In time, this constant “tug of war” between the opposing forces that pull the eyebrows up and down leads to drooping of the brows and wrinkles across the forehead. The first damaging effects of this “tug... more

Jonathan Hoenig, MD

Beverly Hills Oculoplastic Surgeon

The truth is that we have been doing too many brow lifts...

The truth is that we have been doing too many brow lifts. If you look at beautiful young models, most of them have low brows! Raising the brows in many women just makes them look different, not younger. So, you have to make the right diagnosis. If the eyebrow is at the level of the bone above the eye, the patient does not need a brow lift. I just do an upper blepharoplasty which mostly consists of removing redundant skin. The inside of the eyebrow almost never needs to be raised. So, if a... more

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Brow lift or Eye lift - which one do I need?

This is a key decision and one that you should consider carefully before proceeding ahead. The fact is that most people with heavy eyelids have a combination of droopy brows and excess eyelid skin. The important thing is to decide whether it is a brow lift or an upper eye lift that gives you the best cosmetic outcome. In some individuals, both procedures may be necessary to get the best possible outcome. First, let's take a look at the ideal brow position in a woman. The inside... more

Sam Naficy, MD

Seattle Facial Plastic Surgeon

When you are being evaluated for upper eyelid...

When you are being evaluated for upper eyelid improvement, it is imperative that your surgeon make the correct diagnosis. Excess upper lid skin either comes from the eyelid, too low of a brow, or both. If your eyebrows are too low, manual repositioning is performed. If you lose all the excess skin, then you only need a browlift. If you still have extra eyelid skin after pushing your eyebrows back into a youthful position, then you need both a browlift and a blepharoplasty. Normal position... more

Manish H. Shah, MD

Denver Plastic Surgeon

ASAPS ASPS

Browlift vs. Blepharoplasty: not always "versus"

Browlift and blepharoplasty (upper) are not mutually exclusive procedures--they can be done in conjunction. In some cases, neither procedure will address your particular problem. It all depends on proper evaluation of the eyelid/brow complex, as well as a detailed discussion of your concerns and your surgeon's aesthetic sense. In my experience, I think browlifts tend to be overutilized, and can give a surprised/startled look. On the other hand, upper blepharoplasty when performed too... more

Robert J. Chiu, MD

Pittsburgh Facial Plastic Surgeon

Brow lift or blepharoplsty to treat the saging upper lid

If you compare the upper eyelid to a curtain, the brow is the rod from which it hangs. Therefore the brow position will affect the eyelid and vice-versa. When people have too much skin on their upper lids they will keep their brows up to be able to see better or even to look better. Hand someone a mirror. When they bring it in fron of their face the eyebrows move up automatically. If one operates on the eyelids to correct the upper lid excess, the brow will assume a lower position which... more

Farhad Rafizadeh, MD

Morristown Plastic Surgeon

ASAPS ASPS

How to rejuvenate heaviness in the upper eyelids

In order to answer this question, one has to know if the patients eye brows are brows currently droopy? patient male or female? where the brows always heavy or is this change new? In youth, did the patient like their eye brow position? Does the patient have a problem with dry eyes In order to answer many of these questions, my patients are instructed to bring in photos of themselves from their 20's and each decade up until the age at which they present. This helps me understand the... more

Ran Y. Rubinstein, MD

Manhattan Facial Plastic Surgeon

Blepharoplasty and Browlift treat different problems, but many patients need both procedures

It's not unusual for patients to require both procedures. Ideally, the eyebrow should be above the bony rim at the top of the eye socket, with a slight arch for women. When a plastic surgeon examines a patient with brow ptosis, he should elevate the eyebrow to this ideal location and then determine if there is still excess skin of the upper eyelid. In addition he should determine whether the upper eyelid drooping is due to an abnormality in the eyelid muscles or due to excess skin alone... more

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Joseph M. Perlman, MD

Houston Plastic Surgeon

ASAPS ASPS

Browlift versus Blepharoplasty

Both a browlift and a blepharoplasty improve the facial appearance around the eyes - but in different ways. A browlift will reduce the sagginess of the eyebrows and lift the thicker skin over the eye socket off of the eyelids. A blepharoplasty will reduced the excess saggy thin upper eyelid skin that hangs over the upper lid crease. What you need will depend on what you have - droopy brows, or droopy lids, or both. You plastic surgeon can tell you what is recommended... more

Randy J. Buckspan, MD

Austin Plastic Surgeon

ASPS

Deciding between Browlift or Blephaphorplasty

The answer to this questions depends on whether or not you have noticed your eyebrows have drooped or are lower than they have been in the past. It is common to perform a brow lift to reduce the excess tissue over the eyes and do the blepharoplasty (upper eyelids) after 3-6 months to allow for any settling of the eyebrows (depeding on the technique used to lift the eyebrows). If the upper eyelid skin excess is primarily what is bothersome, then a cosmetic upper eyelid blepharoplasty is the... more

Amiya Prasad, MD

New York Oculoplastic Surgeon

Brow Lift vs Blepharoplasty

The eyebrow typically should live at or above the bony rim above the eye. If it is not in that position, one can gently lift it up manually and if that addresses the excess skin of the upper lid and is found to be more appealing a brow lift is indicated. If the brow is above the rim and there is excess skin, then the excess skin of the upper lid should be removed, a blepharoplasty. Sometimes people may need both. An interesting exercise to pursue is to go through a magazine like ELLE... more

Roger J. Friedman, MD

Bethesda Plastic Surgeon

ASAPS

Browlift and blepharoplasty are complimentary procedures for eyelid area improvement

Patients can benefit from both a browlift as well as an upper blepharoplasty depending upon their invidividual anatomy and cosmetic needs. The browlift addresses the position of the eyebrows and only indirectly improves the upper eyelid position. Typically a browlift is done to improve the hooding of skin that hangs over the corners of the upper eyelids or the heavy brows themselves that can hang below the bony prominece on top of the eyelids. Upper blepharoplasty, on the other hand, removes... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

It depends on where your eyebrow sits above your eye

It depends on where your eyebrow sits above your eye. Your eyebrow should sit above your eyelid margin about the size of the width of your iris. So depending on where your eyebrow sits, you will be a better candidate for an eyebrow lift or just an eyelift. If your eyebrow sits below the distance of the width of your iris, you could benefit from an eyebrow lift. If it sits above this distance, an eyebrow lift could make you look surprised. That distance determines whether you look suprised or... more

Philip Young, MD

Bellevue Facial Plastic Surgeon

The key is your individual anatomy

I think this is a great question because the answer really depends on your individual anatomy. Most of my patients who see me for eyelid or brow rejuvenation do so because they feel they have a very "tired" appearance. When I evaluate a patient for eyelid rejuvenation, I'm first looking at the position and shape of the eyebrow, then the quality and amount of eyelid skin, and finally the presence or absence of fat around the eyes. This will dictate what operation will give the... more

Shahram Salemy, MD

Seattle Plastic Surgeon

ASPS

If indeed it is only the eyelids that are sagging, then...

If indeed it is only the eyelids that are sagging, then an upper blepharoplasty is the appropriate procedure for correction. The surgeon will determine the distance between the eyebrows to the eyelashes, and if that distance is adequate, just an upper blepharoplasty is performed. If the distance is short and the brows are quite low, consideration should be given to a forehead lift or a browlift. A brow-lift is an operation that is used for someone who has very low set eyebrows. The... more

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William Portuese, MD

Seattle Facial Plastic Surgeon

In regard to the upper eyelids, sometimes the primary...

In regard to the upper eyelids, sometimes the primary cause of a sagging eyelid is a lower eyebrow. In that situation we want to make sure that we perform an endoscopic brow lift. In addition, if the upper eyelid skin is heavy, we want to do an upper lid lift where we make an incision on the crease of the skin and remove the upper eyelid skin. In regard to the lower eyelids, you have to be very careful because if you remove too much skin you can have lower lid retraction, where the lower... more

Paul S. Nassif, MD

Beverly Hills Facial Plastic Surgeon

Browlift or blepharoplasty

Browlift or blepharoplasty: which is best? a temple lift can be used alone to lift the outer lid a full brow can lift and correct frown lines or you can use botox there if the brow position is above the bone, eyelids alone can be done many patients need both

Jed H. Horowitz, MD

Orange County Plastic Surgeon

ASAPS ASPS

Browlift Vs Blepharoplasty - Which is Best for Sagging Eyelids?

If the upper eyelids are sagging, but not the brow, the excessive skin in the upper lids should be removed. This may be apparent at a very young age and may be hereditary. If the brow sags, then the brow should be lifted. This, however, comes with aging. As we age the brow sags, particularly the outer brow, and this sagging causes the upper eyelids to sag as well. There are occasions when one needs both a brow lift and an upper lid lift (blepharoplasty). You can look in the mirror and lift... more

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Ronald Finger, MD

Savannah Plastic Surgeon

ASAPS ASPS

Browlift or blepharoplasty

Great question. Rejuvination of the eyelids often involves addressing both the upper eyelids as well as the brow. Some people have severe brow ptosis (droop) while others suffer more from excess upper eyelid skin and the brow is in relatively good position. There are several options for brow and upper eyelid rejuvination. A lateral brow lift or temple lift is a relatively non-invasive technique that addresses the side of the brows and elevates the brow to its more natural position... more

Todd C. Miller, MD

Orange County Facial Plastic Surgeon

Blepharoplasty or forehead lift

It all depends. A Blepharoplasty will treat the excess skin and fat within the boundaries of the eye socket. Doing a forehead lift, as it will pull on the tissues in the upper eyelid socket, can have an effect on the degree of loose skin but will not replace a Blepharoplasty. At times, a patient might need both done. Also, important to note is that the forehead lift, although it might correct a fold of excess skin of the upper eyelid, can only do so by lifting the brow and enlarging... more

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Julio Garcia, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Brow lift or Blepharoplasty?

The eyebrows can be thought of as a kind of "curtain rod" and the upper lids as a "curtain". The brows are actually part of the lower forehead, and just below the brows we find the upper eyelid skin. The brows of some of us are somewhat high and in others quite low. When performing upper eyelid surgery (blepharoplasty) there must be adequate space between the lashes of the lids and the lower brows. So in eyelid rejuvenation surgery, we take into consideration both brows... more

Donn R. Chatham, MD

Louisville Facial Plastic Surgeon

To do or not to do - Brow lift or Blepharoplasty? Botox?

The surgeon you are consulting should always evaluate your brows relative to your upper lids and discuss this with you. They can demonstrate whether the lids alone, brow alone, or both will benefit you most. Short of a consultation - how can you tell on your own? Here are some clues. 1st question - when you are looking in the mirror trying to decide what look you are seeking, do you find yourself pulling excess skin off your lid, or are you taking a finger and raising your eyebrow to get... more

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