Brow Lift Q&A
70%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
51 Reviews
Brow Liftbefore & after photos
View Before and Afters

Average Brow Lift Cost: $7,504

Learn about Brow Lift

257 people and 422 doctors are talking about Brow Lift

Get Free Email Updates

One Doctor Says Browlift, the Other Says Upper Bleph? What to Do?

asked 7 months ago by philsfan in PA
Latest answer by Sam Naficy, MD
Question viewed 456 times
Tags: comparison

How can I determine which I need?? I have seen two excellent facial plastic surgeons and I've heard two different stories. One is saying I need a browlift and an upper bleph would cause my brow to drop. The other doctor is saying I need the upper bleph and I would look "done" with the browlift. I tend to like the browlift guy better and can see how raising my lateral brow would look pretty good if he doesn't go crazy. How can I tell what I need? Thank you all!!!

27 answers to One Doctor Says Browlift, the Other Says Upper Bleph? What to Do?

+4

Browpexy or lateral lift through the blepharoplasty incision

It is hard to believe that an upper blepharoplasty would make your brow drop if performed correctly, but you would need to be evaluated pre-operatively. Do you like the appearance of your eyebrows when you get a lateral brow-lift type effect from Botox? One procedure that I have been doing pretty regularly is to do an upper blepharoplasty to address the excess upper lid skin and fat pads and then through that same incision secure the brow at a higher position... more
Jason D. Bloom, MD

Philadelphia Facial Plastic Surgeon
+3

Blepharoplasty, Browlift or Both

Remember different surgeons solve problems by different methods and so it does not mean that one of your surgeons is right and one is wrong. That being said, in general I find that my best outcomes result from less surgery in more places rather then aggressive surgery in one place. Beautiful, natural browlifts are more easily attained then in the past and the eyelid results typically last longer with the additional correction of the brow. Go back to whichever surgeon you... more
Hannah Vargas, MD

Kansas City Facial Plastic Surgeon
+2

Browlift or Upper Eyelift

You can get an idea of the effect that a browlift would have by putting your index finger above the mid portion of the eyebrow, and your thumb at the lateral (outside) part of the eyebrow. Lift to position the brow where you would like it to be. Notice whether that's aesthetically pleasing or whether there still appears to be excess skin. Many times a well done browlift creates the best look. Sometimes severe 'hooding' of the upper eyelid will benefit from both the browlift and... more
Ricardo Rodriguez, MD

Baltimore Plastic Surgeon
+2

Browlift or upper bleph

A common mistake in periorbital aesthetic surgery is assuming one operation can solve the entire problem. Often it is by a combination of a browlift and upper bleph that the optimal result can be achieved. An experienced surgeon should be able to not over-elevate your brows giving you a permanent "surprised" look. Get a third opinion! Good luck!
Marcel Daniels, MD

Long Beach Plastic Surgeon
+1

Brow lift vs. upper blepharoplasty - a very common dilema

This is a very common dilemma among patients and surgeons alike. The link below goes over some ways to determine which is the better choice for you.
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Browlift vs upper blepharoplasty

Both a browlift and an upper blepharoplasty can improve the appearance of the upper 1/3 of the face. If the primary problem is excess skin between the eyelashes and the eyebrow, then the blepharoplasty should suffice. On the other hand, if the brow is sagging and/or there is a lot of loose skin/wrinkles over the forehead, then a browlift would be the better choice. In some cases, a patient would have the best improvement by having both procedures performed. ... more
Vincent D. Lepore, MD

San Jose Plastic Surgeon
+1

Blepharoplasty or browlift

The blepharoplasty versus brow lift operations is a very controversial topic, even in the field of facial plastic surgery. There is no one absolute solution to this problem. The best advice that I give patients is that it is important to look at the distance between the eyelashes to the eyebrows. If the distance is quite short and the eyebrows are truly low, it is best to have a brow lift procedure. If the brows are in excellent position already and the eyelids have... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Perhaps you need both a brow and an eyelid lift

In my practice I usually have to point out to my patients the need for a browlift when the initial consultation is for blepharoplasty. Tell tale signs of a decending brow are the horizonal line at the lateral corner of the brow which then tail downward as the actual eyebrow ends. In addition there is often a small crease or hood of skin at the corner of the eye which signifies a truly decended brow versus excess eyelid skin. In my opinion an conservative forehead lift can really accentuate... more
Giancarlo Zuliani, MD

Detroit Facial Plastic Surgeon
+1

Brow lift or Upper Lid Blepharoplasty?

The answer lies in your mirror. When you elevate your brow, does it look better? If so and if your brow is below the underlying bony rim, then you do need a brow lift to look your best. However, you may also need an upper lid blepharoplasty. Often the two procedures are done together. The trick is to find a surgeon that is conservative so that either procedure is not over-done. Viewing your photos, it appears that your brow could be improved with a lift, and the excess skin in your upper... more
E. Ronald Finger, MD

Savannah Plastic Surgeon
+1

Combination browlift and eyelid plasty works well.

Hi. You clearly need another opinion. When the browlift is done, it is important to do it conservatively. So it seldom will clean up your eyelids by itself.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

How to decide on browlift vs. upper eyelid blepharoplasty

The reason you have heard different opinions both in your consultations and the responses here is that there are several variables that have to be considered. The best place to start is by placing your fingers on your forehead and pulling up the eyebrow until it looks like it is in the right position - not too high, and with a nice shape. If the eyelid looks ok then brow sagging is the problem and a browlift is the best way to go. What makes it tricky is that people compensate for heavy... more
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Brow rejuvenation vs. blepharoplasty

Upper lid/brow rejuvenation go hand in hand depending on the aging process, anatomy and desired aesthetics. Some patients can obtain excellent results with an endoscopic browlift to address the changes while other will require upper blepharoplasty alone. About 25% of my patients require both upper blepharoplasty in conjunction with a brow lift. The other major change in our treatment has been volume restoration of the brow as well the temple region to help restore natural beauty... more
Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon
+1

You need both

When thinking about correcting periorbital aging you need to take in consideration all the structures involved (i.e. eyelids, upper and lower.brows and forehead; without forgetting the skin surface). Blepharoplassty will only address the skin and fat deposits located in the eyelids. For the brow you will have several options: browlift ( i prefer endoscopic),lateral browlift (addressing only the lateral aspect of the brow) or browpexy (suspension of the brow, through the bleph incision).... more
Victor Manuel Perez, MD

Kansas City Plastic Surgeon
+1

Browlift or blepahroplasty

These two procedures both influence the eye region but in different ways. The eyelid surgery will not affect the brow position, in some cases there might be a short term pulling down of the lateral brow due to swelling only. The brow-lift on the other hand, will elevate the lateral part of the eyebrow, will take up some of the excess skin of the upper eyelid, but usually will also raise the medial brow and enlarge the distance between your lash line and your eyebrow, potentially exposing the... more
Julio Garcia, MD

Las Vegas Plastic Surgeon
+1

Browlift

Without pictures or seeing you it is hard to advise you. You may actually need both. I prefer lateral brow lift plus glabellar botox along with the bleph.
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+1

Browlift with blepharoplasty

Your opinion matters when making the decision to have a browlift along with an upper lid blepharoplasty at the same time. An upper lid blepharoplasty should be used when there is either excess upper lid skin and/or excessive bulging fat. A browlift should be performed if your brow is at a height that seems lower than what you had when you were younger or you would like to see your brow at a higher level. The shape and height of the brow can both be adjusted with a browlift... more
Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon
+1

Browlift vs. Blepharoplasty: What You Need to Know

In deciding how to correct the appearance of the aging eye, the most important thing is the aesthetic of what you want to accomplish. A great surgeon shapes the structures of the eye to impart a certain feel to your appearance. This is most easily demonstrated by moving your brow in different positions. Try moving the clubhead (the part by your nose) first, then the middle of the brow and finally the tail. Next move these in combination, shaping the brow for... more
Joseph Campanelli, MD

Minneapolis Facial Plastic Surgeon
+1

Brow lift versus upper lid bleph

These are two different but related operations. If the brows are low, then they need to be elevated and performing an upper lid bleph under those circumstances will not achieve an improvement. If the brows are elevated and the redundant skin on the eyelids disappear, you would not need an upper lid bleph. If not, then you may need both procedures but they can be performed in many cases via the same incision.
Robert L. Kraft, MD

New York Plastic Surgeon
+1

One Doctor Says Browlift, the Other Says Upper Bleph? What to Do?

The best way to decide it to use a finger and raise the peak of each brow to just above the brow ridge (in women, to the ridge in men). Now, critically look at the amount of "excess" skin of the upper lid. With the brows stabilized in their normal position, the presence of a significant amount of excess upper lid skin suggests you may benefit from BOTH a Brow Lift and Upper Lid Lift (Blepharoplasty). In my opinion, there are way too many Blepharoplasties being done for... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Brow vs. Eyelid

Patients who desire to rejuvenate their eyes often have a combination of brow descent and extra upper eyelid skin. Upper eyelid skin is treated by a Blepharoplasty procedure whereas brow descent is treated by Endoscopic Browlift. To confuse the matter, both extra eyelid skin and brow descent are often present. To determine which procedures are needed to rejuvenate the eyes, I first determine if the brow is descended or if it is in a good position. The eyebrow should lie... more
Andrew Winkler, MD

Lone Tree Facial Plastic Surgeon
+1

One Doctor Says Browlift, the Other Says Upper Bleph? What to Do?

I have performed Brow Lifts and Upper Eyelid Surgery for over 20 years and the only way to decide which one is correct would be to elevate your eyebrows to the proper aesthetic position, during the consultation and then evaluate the upper eyelid fullness. If the upper eyelids appear full, the position (height) of the eyebrows need to be evaluated in order to determine what is really causing the excess skin of the upper eyelids before the peroper procedure can be recommended. If... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Brow's or lids or both?

The aging upper 1/3 of the face should always be evaluated as a unit. Most often(but not always) some degree of brow ptosis is encountered. People with deep set eyes can tolerate some degree of brow ptosis and still be aesthetically pleasing. If you have brow ptosis and more average set eyes you are more likely to need brow repositioning. In this instance, upper blepharoplasty alone most definitely can and will lower your brow position. We have shown this with computer measurement... more
Von Graham, MD

New Orleans Facial Plastic Surgeon
+1

Combination of procedures is often needed to get the best result.

When you run into a disagreement like this, additional opinions are really the best option. You might consider seeing some oculoplastic surgoens. In your state there are a number of excellent oculoplastic surgoen who offer both eyelid surgery and forehead surgery. They are going to be able to carefully assess you and render an opinion regarding the best approach. Ultimately, it is chemistry of confidence in one of these surgeons. My advise is that if one of... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Browlift and Blepharoplasty Rejuvenate The Upper Face

In my practice a brow lift is often combined with an upper Blepharoplasty to harmoniously rejuvenate the upper facial region. In an evaluation of the upper facial features, the extra skin between the brow and the eye is assessed as well as the affect elevation of the forehead has on the region lateral to the pupil or eye. If the effect of the brow elevation appears beautiful and there still exist some excess upper eyelid skin a Blepharoplasty may be combined with a brow lift... more
Charles Perry, MD

Sacramento Plastic Surgeon

www.chrysaliscosmetics.com

+1

Browlift or upper lid beph or both

There is no photograph, so it is difficult to comment on what is the right procedure for you. It is very easy to evaluate and recommend what is necessary. By elevating the brow both by asking the patient to elevate and manually elevating, Plastic Surgeon should be able to determine whether a brow lift is what is going to get the best aesthetic result or a combination of brow lift and upper bleph is necessary. If there is enough ptosis of the brow causing hooding of the... more
Raj Chowdary, MD

Allentown Plastic Surgeon
+1

Brow vs upper bleph

One of the eternally asked questions in plastic surgery. none of us will be able to help much without photos. even then it can be a touch and feel thing. one of those times when you have to go with your sense of the surgeon. the bleph is more conservative and you could do the forehead years later if needed.
Sherwood Baxt, MD

New Jersey Plastic Surgeon
+1

Browlift vs blepharoplasty

These are two totally different operations. The browlift is more invasive and aims to elevate the brow especially laterally. This can take up some of the lateral hooding of the eyelid and make it look better. The blepharoplasty only addresses the extra skin and sometimes fat of the upper lid. Properly done, it should not pull the brow down. Ask each doctor to show you many photos including someone a little like you and then look at the results and see which more... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

Ask a question