Browlift vs Blepharoplasty - which is best for sagging eyelids?

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... more

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... more

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... more

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... more

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... more

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... more

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... more

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... more

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... more

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... more