Browlift Vs Blepharoplasty - Which is Best for Sagging Eyelids? Doctor Answers, Tips
Eyelid Surgery: Q&A
Ask a Question

Browlift Vs Blepharoplasty - Which is Best for Sagging Eyelids?

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

89 Doctor Answers | Asked by anon
+13

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
+7

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
+7

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

You might also like...

Real Stories

Dr. Gentile Performed a Miracle on my Eyes! - Youngstown, OH

A picture is worth a thousand words! I'm including pictures and you can see for yourself. I...

Before + After Photos

View 2049 Eyelid Surgery photos
+5

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
+5

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
+4

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
+3

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
+3

Blepharoplasty is for sagging eyelids, Brow Lift is for sagging brow

If your eyebrow is about 1 centimeter (about 1/2 inch) higher than the bone above your eyelid at the high point of the arch of the eyebrow, then your brow is in a normal position and any upper eyelid excess is best treated with a blepharoplasty. If the eyebrow is at or below the bone then you have brow ptosis and may need a brow lift. Most commonly, if you have brow ptosis, you will also have excess eyelid skin and both a brow lift and blepharoplasty may be required-often in... more
+3

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... more
+3

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
+2

Browlift vs. Blepharoplasty (Eyelid Lift)

This is a great question, and the answer will vary signficantly between patients, based on individual skin and muscle characteristics. The lateral hooding of the upper eyelid can be treated effectively in many cases with a browlift. However, overlooking a general excess of skin in the upper lid can lead to a disappointing result. In my practice, these procedures are often performed together. Please visit with a couple of surgeons to get a better understanding of your specific issues and... more
+2

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
+2

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
+2

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
+2

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
+2

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
+2

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
+2

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
+2

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
+2

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
+1

Eye Rejuvenation

It's not that simple. If your brows are low, you may need both. If you have low brows and just get a blepharoplasty, you could actually worsen your appearance. Make sure you see a board certified plastic surgeon in your area to examine you correctly and advise you accordingly. Best,
+1

Browlift or Blepharoplasty For Younger Look?

Browlifts and blepharoplasty often go hand in hand but not always. As an Oculoplastic surgeon, it's imperative to examine the patient's face carefully. Looking at the placement of the brow is important; if it lies on the orbital bone, I would not perform a browlift. If a browlift is wrongly performed, an unnatural look can take place. If the issue is lax skin or heavy eyelids, most likely an upper bleph may be the best. I always encourage an in-person consultation to... more
+1

Browlift vs. Blepharoplasty

This depends on whether you have excess eyelid skin, or drooping eyebrows. Sometimes both procedures are necessary. The best thing to do is to schedule a consultation with a board certified Facial Plastic Surgeon for an evaluation.
+1

A Browlift By Itself, Blepharoplasty By Itself, Or a Combination of the Two May be Best for You

A brow lift and a blepharoplasty are two different operations. A brow lift is designed to lift the eyebrows and the forehead. As we age, it is typical in many people to have the heavier eyebrow skin descend over the upper border of the eye socket leading to extra skin in the upper portion of the eye socket. A blepharoplasty is performed by removing the extra skin in the eyelid itself. Eyebrow skin is a thicker heavier skin than the very thin eyelid skin. If you are considering... more
+1

Comparing Browlift & Blepharoplasty; Your Anatomy Helps Determine What's Best

Facial aging affects the entire face, but nowhere is it more noticeable than in the area around the eyes. The eyes are truly the window to our souls and tell everyone how we are feeling. Aging of the soft tissue in this area not only makes us look older, but can change how we are perceived. Excess eyelid skin can make us look tired and less energetic, while brow descent can make us look serious and even angry. For these reasons, Blepharoplasty and Brow Lift are commonly requested cosmetic... more
+1

Brow Lift vs. Eyelid Surgery

What a great question! It comes up every day with my patients. The answer is that it depends on each patient’s anatomy. We have to evaluate the amount of excess upper-eyelid skin as well as the eyebrow position. In general, we first address extra skin of the upper eyelids with a blepharoplasty, often when patients are in their 30s through 50s. A forehead lift done too soon can create a surprised look. I usually reserve forehead lifts for patients who are a bit... more
+1

Brow and Eyelids intimately related

This is a great question. Facial aging manifests itself in the orbital area as a combination of sagging brow and sagging upper lid skin. Often one is worse than the other, but not always. That means that some patients need only single procedure whereas others need to address the brow and the lids. A well trained surgeon will be able to identify which patients need which procedure.
+1

The aging process involves both the eyelid and the brow.

The aging process involves both the eyelid and the brow, particularly the lateral brow. Lateral hooding of the upper eyelid is best addressed by raising the brow laterally, which can be done through a limited incision in the temple and is usually best combined with a blepharoplasty. There are occasional patients who benefit from a browlift without a blepharoplasty, but usually sagging eyelids are a combination of sagging brows and extra eyelid skin. The procedures have to... more
+1

Browlift or Blepharoplasty

The best procedure for your sagging lids really depends on the cause and type of sagging. If you have an extra fold of wrinkled skin on the eyelid itself, then an upper blepharoplasty is appropriate, but if the looseness is a little higher, in the thicker-skinned area right under your eyebrow, and the brow itself is low, than a brow lift will be best. It will lift the brow up to a more youthful level, raise the fold of skin just under the brow, and that will smooth out the... more
+1

The answer lays in your exam!

I've been doing nothing but facial aesthetic surgery since 1988. That's a lot of patients who have come if for the very reason you considered facial plastic surgery. In my experience the majority of patients that complain of a tired look to their upper lids it is due to inferior to medial migration of the brow into the upper eyelid area. In these patients an endoscopic browlift gives the best result. Over the years I have developed a sequential approach to browlift surgery and... more
+1

Browlift Vs Blepharoplasty

Blepharoplasty and brow lifts both help rejuvenate the eye area however, they have two very different purposes. A brow lift will help someone when the actual brow is sagging and a blepharoplasty is for any loose/sagging skin or excess fat above or below the eyelid. Most of the time it is one area or the other that will need lifting, but in some cases a person will benefit from doing both. In addition, sometimes patients will mistake a low brow as loose skin on the eyelid and vice versa. That... more
+1

What is the best for sagging eyelids, brow lift or blepharoplasty?

It is impossible to answer this question without seeing your photos. Some patients need one procedure or the other and some require both. If your brows have descended with time then you would probably benefit from a brow lift. You can figure out on your own which is the best procedure or combination for you. If you raise your brows with your fingers to a natural level, does this take care of the sagging eyelids? If it does, then a brow lift alone is the answer. If... more
+1

Browlift and eyelid surgery + volume is the answer

Both the brow and the excess eyelid skin contribute to the aging surrounding the eye. To rejuvenate the eyelid area to produce a more youthful look, we need to treat each of these signs of aging. We also may need to add "volume" to the eye to produce a more youthful appearance. If we only perform blepharoplasty or an endoscopic brow lift, we may over-correct one or the other of these problems, producing an un-natural appearance. Eyelid creases and the position of the... more
+1

Brow-lift or Blepharoplasty? - How to tell

A physical exam by a board certified Plastic Surgeon or Oculoplastic Surgeon can give you the answer by identifying what is causing your problem. A simple analogy I use with my patients is - Say, you come into a room and see that the curtain is hanging such that it is draped onto the floor. You have to analyze the problem first - Is the curtain too long (i.e. redundant eyelid skin) or is the curtain rod (your brow) too low or both? In other words you may need one or the other or both. An... more
+1

Blepharoplasty vs. Browlift

One cannot separate or compare one vs. the other. Brow lift and upper blepharoplasty is a continuum of upper facial rejuvenation. There are two distinct issues: one is brow ptosis and the second is access skin of the upper eyelids. Brow ptosis can exacerbate the look of excess skin over the upper eyelids. It is important to identify each issue individually. Mistakenly one can remove too much skin from the upper eyelids and cause complications of the eyelid... more
+1

Bleph vs. Brow Lift

Although these two procedure address concerns regarding eyelid drooping and heavy lids, they are really quite different. An upper bleph will address the loose, crepey skin that we are prone to with our genetic predisposition as well as the natural aging process. A bleph can be performed in office under local sedation with an average recovery of 5 to 7 days. A browlift however will address the dropping of the brow that occurs as we age. When the brow drops, it... more
+1

Browlift and upper blepharoplaty are on the same team

When excessive heaviness develops in the upper eyelids, it is important to do a careful physical exam in order to determine the cause of the heaviness and to recommend the proper operation. If you place two fingers above the brow and lift it in a subtle manner and this correct the problem, then a browlift will probably be at least part of your solution. If you need a browlift and try to solve this problem with upper eyelid surgery alone, it is likely that one of two... more
+1

Blepharoplasty for Skin Laxity, Browlift for Changes in Brow Position

As the face ages, two different aging processes effect the appearance of the upper eyelids. Blepharoplasty or eyelid surgery will remove the excess skin in the upper lid to decrease the appearance of laxity and hooding. Browlift surgery will raise the brow, which comes down from its ideal position over the upper orbital rim (the bony ridge at the top of the eye socket) with age. This will decrease some of the laxity in the upper lid and widen the eye space, providing a more awake look. In... more
+1

Brow lift or lid lift

To raise the brow - a brow lift. To smooth lines and balance the brows - Botox To refine the eyes by removing remove excess skin and fat - a lid lift. A lateral brow lift if only the outer brow has come down. My preference is for a natural look. This usually means eye lid surgery plus Botox and a lateral brow lift. BUT it depends entirely on the look you want. Discuss your goals with your surgeon while you look in a mirror and show her/him exactly what you... more
+1

Browlift vs. Blepharoplasty: which is better?

The key is in the examination. Your doctor must determine what the primary problem is and if one or two procedures are needed. If you have significant brow ptosis and that in turn is causing your upper eyelid skin to bunch up over your eyes, a brow lift may be all you need. If you hold up your brow and still note a significant amount of redundant upper eyelid skin, a blepharoplasty may also be needed. In most cases the brow lift is performed, then the patient is inspected... more
+1

Both work - either together or separately

When face to face with people, the area we all notice first is the eyes. That is why the peri-orbital area is the one most commonly identified by patients as being of concern, and it is the most common area treated - either with Botox, fillers, or surgically. Brows that are too low can make a person look tired or angry. Brows that angle downward from the middle of the forehead toward the side of the face can make a person look sad. Brow lift - done either as and... more
+1

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
+1

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
+1

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
+1

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
+1

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
+1

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
+1

Brow lift or blepharoplasty--which is best for saggy eyelids?

This is a very important question, and there is no "short" answer. Most patients with saggy upper eyelid skin would benefit from a browlift procedure. A small incision brow lift is an elegant procedure which addresses forehead lines and brow ptosis. Nonetheless, I usually describe a brow lift procedure, even if done through small incisions by an experienced surgeon, as a larger (and more costly) procedure than upper eyelid surgery. Therefore, my... more
+1

How to decide between browlift and blepharoplasty?

This is definitely an aesthetic problem to get multiple opinions from different surgeons. There is no right or wrong operation in all cases. Some patients require work on their brow, some on their eyelids, some both and some neither. Your surgeon needs to be capable of performing both surgeries equally well. In addition, it is very important that you agree with the aesthetic of your surgeon. Here are some important things to know before an evaluation. Of the... more
+1

Which is better for sagging upper eyelids a Blepharoplasty or Brow Lift?

This is a great question that comes up in almost every consultation that I have with patients seeking more youthful, attractive eyelids. When fullness of the upper eyelids is present in women, not men, it's necessary to raise the eyebrows into their proper aesthetic position and then see if this results in a change in the amount of excess upper eyelid skin. 1. If all the excess skin, of the upper eyelid is gone this indicates the excess is caused by low position eyebrows and the proper... more
+1

Browlift versus upper eyelid surgery

It is difficult without seeing and examining you whether you would benefit more from browlift or upper eyelid surgery. Sometimes you may need both. If your eyebrows are droopy, I would recommend forehead or brow lift first. Then if your upper eyelids still look droopy, you can have them done later. However, if your surgeons feels that you have both droopy eyebrows and excess skin of your upper eyelids, you may need both, which is commonly the case. more
+1

Brow lift vs. Blepharoplasty

It’s not one procedure vs. the other. They frequently go together as many people require the combination. As is important in medicine, the right diagnosis leads to correct treatment. I always evaluate the percentage of the problem due to drooping brow (ptosis) and upper eyelid laxity. A falling brow can’t be fixed by blepharoplasty, so if the brow represents a significant proportion of the problem the results will be compromised without adding the brow lift.   more
+1

Browlift vs. Blepharoplasty...

A brow lift improves just the brow by raising the eyebrows to a more youthful position.  Blepharoplasty would remove any sagging eyelid skin that remains.  A browlift is needed if the heaviness over the eyelids is primarily lateral, and if the whole eyebrow has descended in general.  A Blepharoplasty primarily deals with excess skin that blunts the eyelid crease.  An incision is made and the excess skin is removed, leaving you with a better defined crease to put makeup on... more
+1

Browliftt vs. Blepharoplasty

The key element in deciding whether one needs a browlift versus a blepharoplasty involves an individualized, comprehensive analysis of the patient’s brow and eyelids. These are the 4 key areas: • Specifically, one should look at the level of the eyebrow. If the brow, both centrally and laterally, is in good position meaning it is at or above the forehead frontal bone. I would not consider doing a browlift. I am conservative on doing a browlift unless it is necessary. The... more
+1

Which procedure is the cure for sagging eyelids?

A brow lift is a wonderful procedure for repositioning a sagging or low brow. Your board-certified plastic surgeon will assess whether or not your sagging eyelids are due to a lower brow or extra skin in the upper eyelids. In some cases, a patient may be a candidate for both procedures.
+1

Blepharoplasty vs brow lift

First, male vs female: brow position is naturally lower in men and more pleasing higher in women. Sweeping higher laterally, not in  the center which would give a surperised look. Sometimes just raising the brow will eliminate what appeared to be excess upper eyelid skin, but often both procedure is advisable to give to most esthetically pleasing look , particularly in women. There is not definate right or wrong. Esthetics plays a big role so it is personal.
+1

Browlift and blepharoplasty

Performing a brow lift or blepharoplasty or a combination of the two depends on several factors, mainly eyebrow position.  The position of the eyebrow normally rests at or above the top of the eye socket (superior orbital rim).  If the eyebrow rests at a normal level, elevation of the eyebrow will do little to help with excess eyelid skin- in these cases a blepharoplasty will suffice. Nonetheless, stabilization of the eyebrow without elevation, called browpexy, may allow for... more
+1

Brow lift versus blepharoplasty for sagging eyelids

This is an excellent question as it goes to the issue of what causes sagging upper eyelids. Sagging eyelids will either be caused by a low set brow, eyelid skin excess, or both. I find that most often both contribute to the sagging, and I very frequently will perform a browpexy through the eyelid incision at the same time as the blepharoplasty, either to raise the brow a bit, or even just to support it in its current position to prevent it from dropping down, which can happen when the... more
+1

Brow Lift is for sagging brows, Eyelid lift is for sagging lids

In many clients that are concerned about "sagging eyelids", sagging brows are a contributing factor. Physical examination by a Plastic Surgeon will determine what the factors are in your situation. Plastic Surgeons are ideal for this, as they are also qualified to do brow repositioning when needed, whereas some othe practitioners may only offer the eyelid surgery.
+1

Nonsurgical Brow and Eyelid Rejuvenation May Be Worthwhile Options Before Considering Surgery

Fortunately, nowadays a variety of nonsurgical brow and eyelid rejuvenation techniques are available for those who are unsure of how things might look after surgery or are simply unwilling for one reason or another to undergo more aggressive surgical blepharoplasties or brow lifts. There are several nonsurgical approaches to dealing with falling brows (and the resultant saggy, redundant skin that settles right on top of the true upper eyelids). This kind of "second eyelid"... more
+1

Browlift or Blepharoplasty?

For improving the appearance of the upper eyelids, is Blepharoplasty better than Brow lift? The answer is different in each patient. Your surgeon can determine whether excess eyelid skin and fat or drooping of the brow is most contributing and suggest Blepharoplasty or Brow lift, or both. You can try to guess on  your own: if you lift your brow to a pleasing natural-looking position and the eye looks completely better, you may need be a candidate for Brow lift, alone. more
+1

Browlift Vs Blepharoplasty - Which is Best for Sagging Eyelids?

The answer to this question depends on what is causing the sagging eyelids.  If your brows are in good position, then blepharoplasty is the operation of choice.  Conversely, if the eyelids are within normal limits but the eyebrow is sagging, then browlift is indicated.   Most people fall in the middle. If you have both droopy brows and excess eyelid skin and puffiness, then you need to consult with your physician to determine whether both surgeries or either... more
+1

Sagging eyelids may refer to excess skin of the eyelids alone.

Sagging eyelids may refer to excess skin of the eyelids alone. In this case, upper eyelid surgery (blepharoplasty) would be most appropriate. Often, when referring to sagging eyelids, people actually mean that the brow position is depressed or “heavy” and the eyelid “sagging” is really secondary. In this case, a brow lift is often more appropriate. Although the scars with endoscopic brow lift surgery, the most common technique used in my practice, are very small,... more
+1

Eyelid surgery, forehead lift, brow lift

Whenever you are considering rejuvenation in the area around your eyes, your plastic surgeon should be evaluating brow position, eyelid position, and the degree of eyelid skin excess before recommending the procedures that will accomplish your goals. Excess upper lid skin can be from sagging brows. In that case, when the brow is re-positioned properly, the excess eyelid skin resolves. In other patients, the brow may have remained in excellent position, but there is excess lid skin. In... more
+1

Browlift versus Blepharoplasty

On a patient seeking rejuvenation of the upper eyelid area, evaluation of BOTH the brow and the upper eyelid is necessary.  If the brow is too low (ptotic), a browlift can help withe eyelid rejuvenation.  If too much skin is removed from the eye instead of performing a browlift, brow skin can be removed as well, pulling the brow down further and leading to a excessive fullness in the upper eyelid area.  A browlift and a blepharoplasty work in conjunction with each other... more
+1

Browlift vs Blepharoplasty depends

There are benefits to both procedures. There is no hard fast answer for which is better. The brows in women should rest at or slightly above the supraorbital rim, in men a little lower. In some patients lifting the brows can create a suprised look which patients do not want even though they have some brow ptosis or droopiness. This is a personal discussion you have to have with your surgeon. I have found that patients feel that a brow lift has really changed their look whereas a... more
+1

Goals are different for BROW LIFTand BLEPHAROPLASTY

The goal of blepharoplasty is to create a more youthful and aesthetic appearance of the eyelids.  A brow lift is performed to adjust the eyebrow in relation to the eye and the orbit.  They are often performed together for complementary reasons.  I prefer an open technique for brow lifts to get maximum control for brow placement. Tal Raine MD
+1

Browlift vs. Blepharoplasty

This question arises very frequently when patients are looking to enhance the ocular region.  These procedures address different issues. For patients who just have extra or redundant upper lid skin and puffiness a blepharoplasty would be the correct procedure.  For patients who have "heavy" brows which have descended from there normal position a brow lift would be the appropriate procedure. Many patients have both a "heavy" descending brow and redundant skin and... more
+1

Brow lift or Blepharoplasty - Choosing the right operation

When desiring rejuvenation of the upper eyelids, a blepharoplasty will make the most difference, but can be enhanced with either an open brow lift or endoscopic brow lift. In some rare circumstances, excessive brow ptosis can be the root cause of drooping upper eyelids and only a brow lift is needed. You should consult with a board certified plastic surgeon to determine which operation(s) is right for you. In Jacksonville, blepharoplasty or eyelid surgery is individualized to each and every... more
+1

Browlift Vs Blepharoplasty: Depends What You Desire and How You Used to Look Like

The decision between browlift and blepharoplasty depends on the following factors: 1. What You Desire: better eyelids and/or better brows? higher, sculpted eyelid crease brow elevation, either at the temple portion or the nasal portion location of incisioncal scar on the brow or within the eyelid itself 2. How You Used to Look: A older photo of your face is very very useful. One can determine whether sagging is eyelid sagging, brow sagging, or both eyelid and brow sagging All too often... more
+1

Eyelids or Brow? Make the Right Diagnosis!

With cosmetic surgery, as with any type of surgery, it is important to make the correct diagnosis by examining each patient carefully. If redundancy of the upper eyelids is significantly relieved by conservatively pulling upward on the eyebrows, then brow ptosis (sagging) may be the diagnosis and a brow lift is the appropriate operation. If the upper eyelid skin excess is minimally reduced by this maneuver, then the diagnosis is blepharochalasis (excess upper eyelid tissue) and a... more
+1

Correcting the aging upper eyelid

This is a great question as people are often conused about the propper treatment. The Borwlift procedure will correct heavy upper lids to some degree, so for people with a low or saggy brow, the browlift is teh best answer. For people with severe heaviness of the upper lids, the blepharoplasty will give more of a correction. However, many people will get tehe best result with a conservative browlift and conservative blepharoplasty at the same time (instead of an agressive brow or bleph)... more
+1

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
+1

Browlift vs. Blepharoplasty for sagging eyelids

In general, unless I am doing both procedures together, I like to reduce the amount of skin overhang on upper eyelid prior to completing a browlift. Thus, I would likely recommend a blepharoplasty over a browlift (this could change based on the person's specific facial anatomy, though). As a general rule, a blepharoplasty diminishes skin overhang rather than repositioning the brow; most of the time this gives a better appearance—especially if the brow height is already... more
+1

Depends on the caause

Anytime a patient presents for either of these procedures the surgeon must asses both. Excess upper eyelid skin can be due to the eyelid itself or due to descent of the brow. As the brows move down they will allow for more skin crowding over the upper eyelids. A well positioned female brow should have an arch to it and lie slightly above the bony rim of the eye socket. In men it should lie at the rim. Therefore, a quick self assessment should  be able to give you an idea of what... more
+1

Browlift versus Blepharoplasty- which one is best

I prefer browlift because in many cases there is not an excess of upper eyelid skin. Secondly, when you do the upper eyelid surgery, the brow tends to drop a little, giving you a more closed in look. Finally, an endoscopic browlift, well done, will give you a great result with minimal scars and none of the deer in the headlights look. see video
+1

Brow Lift and Blepharoplasty for facial rejuvenation

A brow lift (also referred to as a forehead lift) will lift the brow, in turn making the eyes appear more open. This can address concerns with skin between the brow and the eyelid. If excess or sagging skin on the eyelid is your concern, an upper blepharoplasty is likely the best solution for you. This procedure removes excess skin on the upper eyelid. If you are also concerned about sagging below the eyes, a lower blepharoplasty may be a good option for you too. This procedure removes... more
+1

Best way to treat extra eyelid sag

As we age, the upper eyelid skin begins to sag. Sometimes, the skin can even hang on or below the eyelashes. Cosmetically, this appearance closes off the eyes and makes you look older but functionally, it is heavy on the eyelid and makes your eyes tired particularly toward the evening. The heavy eyelid can sometimes be due to extra skin on the thin upper eyelids but is also often due to droop of the forehead skin and brows. An expert plastic surgeon will be able to evaluate the... more
+1

Browlift vs Bleph - depends on your eyebrow

The upper eyelids and brow are directly connected, and must be evaluated when considering eyelid surgery. Many patients focus on their upper lids and don't notice that low eyebrow position is contributing to the apparent excess of upper eyelid skin. If you look into a mirror and raise your eyebrow to make your eyes look the way you like, then a brow lift is worth considering. Remember that if you pluck the lower aspect of your eyebrows, then in reality your brows are lower than you like.... more
+1

Brow lift or Bleph?

Great question! And one that is tough for you the patient to answer on your own...you really need a trained (ideally a board certified Plastic Surgeon who performs a significant number of these procedures!) to examine both your eyelids and your brows together. Brow ptosis (sagging) is compensated by the lifting action of the muscles on the side of your forehead and leads to the wrinkles or lines across the forehead. This lifting also can recruit skin of the upper eyelid. A brow lift, as... more
+1

Brow lift and or eyelid surgery

Many patients will have wrinkles across their forehead. These wrinkles are there because the brow is low and most patients will benefit from a brow lift. If your brow is smooth and you feel you have too much skin in your upper eyelid than eyelid surtery is indicated. Many patients require both a brow lift and blepharoplasty. The best way to find out which surgery will benefit you is to go to a consultation with an open mind and listen to the doctors explanation.
+1

Upper third rejuvenation with browlift and blepharoplasty

The question raised is a great one. As usual, the answer really depends on the patient. Upper eyelid Blepharoplasty is designed to remove skin from above the upper eyelid crease to help the define the crease and highlight the shape of the eye. If done without a brow lift, the distance between the lash line and eyebrow is made smaller, therefore pulling the brow position down to some degree. This is not necessarily a bad thing, but an aesthetic change that may not be appealing to some... more
+1

Blepharoplasty vs Brow Lift

The tear trough area is the region under the eyes that can appear hollow and look like "bags or dark circles" under the eyes. A filler such as Juvederm or Restylane can be helpful at temporarily fillling in the depression and restoring a youthful look to the area, this can be done in the office. Botox weakens muscles, and has no role in the treatment of the tear trough area.
+1

Browlift vs Blepharoplasty for sagging eyelids

Regarding the UPPER lids, strictly speaking, to actually "raise sagging eyelids" you need to have a brow lift - to remove excess skin or fat puffiness in the upper lid- you would need a Blepharoplasty. A brow lift would reposition the brow in a more youthful, arched shape while a Blepharoplasty would shape the eyelid itself. The procedures are not mutually exclusive since many people have elements of brow droopiness (descent and loss of arch) combined with excess upper lid skin... more
+1

Make sure you review the position of the brow through the years

I agree with many of the comments made by the other surgeons. Deciding whether to have a browlift, blepharoplasty, or a combination of both is a very individual decision that involves your particular anatomy, your aesthetic sense, and the aesthetic sense of your surgeon. I believe that a browlift can be an excellent procedure when done for the right indications. However, I feel that that are a good number of browlifts that are either overdone, or should not be performed at all... more
+1

Brow Lift and blepharoplasty

In a lot of ways, a browlift goes hand in hand with an upper lid bleph. It is a bit of a yin/yang thing. Lateral upper lid fullness is often sagging lateral brow. Some patients do not like the hanging skin in their upper lid when often times a brow lift will eliminate what looks like extra.
+1

Browlift or blepharoplasty

There really is not just one best choice. Each procedure has a different goal and your anatomy and goals will decide which one, (or both), are best for you. My advice is to look at many of your surgeons pictures of each to see what you are trying to accomplish.
+1

Brow lift or forehead lift vs. Blepharoplasty

These two procedures are often complimentary and not always exclusive. Generally, the eyelid lift handles the excess skin occuring between in the inner and outer corners of the eye (canthi). In lay terms, women often complain that they cannot see their eyeshadow or have the sensation that they eyelid skin rests on their eyelashes. Skin excess occurring outside the outer corner of the eye (lateral canthus) is often better managed with a brow/forehead lift. We refer to this excess skin... more
+1

Browlift, blepharoplasty, or both for sagging eyelids.

The operation must fit the problem. Most upper lid problems require eyelid surgery but might be enhanced by a browlift if brow ptosis (droopiness) is a contributing factor.
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok