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Would You Recommend Fillers or a Brow Lift For My Tired Appearance? (photo)

asked 5 months ago by freewheel in Los Angeles, CA
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 126 times
Tags: asymmetry, filler, recommendation, tired

I'm 45 and would like to look less tired. I'm considering fillers for the tear trough -my main area of concern- but also I see how low my brow is and the asymmetrical drooping of my upper eyelid (shared by my older relatives). I'm not sure I'm ready for a big procedure like a brow lift - I'm scared of looking like a deer in the headlights. Do you think I could benefit from just fillers, or would I need surgery to really make the look work?

7 answers to Would You Recommend Fillers or a Brow Lift For My Tired Appearance? (photo)

+1

Would You Recommend Fillers or a Brow Lift For My Tired Appearance? (photo)

Hi Freewheel. There are several things going on making you look tired. As you mentioned, the lower lids are a part of it and fillers could help. The other thing is that your upper lids seem droopy (ptosis). I am not sure whether this is only in the photo or an actual real phenomenon. Your brows are asymmetric, but is this due to your upper eyelids drooping? The best thing for you to do is see an experienced Oculoplastic surgeon to evaluate your eyelids... more
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

+1

Tired Look

Based on your photos, you appear to be a better candidate for fillers and ptosis repair. Opinion will be split. Therefore, you will be best off consulting in person with 2 - 3 board certified plastic surgeons.
Kris M. Reddy, MD, FACS

West Palm Beach Plastic Surgeon
+1

Brow asymmetry and tired look

As far the upper eyes are concerned you have upper eyelid ptosis, worse on the left side - correctable with ptosis repair not with upper blepharoplasty. Your eyebrow on the left is trying to compensate for the ptosis and is lifting itself higher (see example on the link). A brow lift may also be performed as long as you don't have a problem with dry eyes. As far as the lower eyes I would recommend fat grafting and a lower blepharoplasty.
Sam Naficy, MD

Seattle Facial Plastic Surgeon
+1

Fillers or surgery for brow and eyelid ptosis

Fillers would give you some temporary improvement in the lower lid area however temporary is the key word. From your photographs I personally think that you would benefit from an endoscopic browlift with upper lid blepharoplasty. When an endoscopic browlift is done properly it is not just raising the brows but giving you a mid face suspension at the same time. The entire facial unit is undermined, skin, muscle and soft tissue and then lifted and restored back into it's pre aging position. No... more
Michael Elam, MD

Orange County Facial Plastic Surgeon
+1

Tired eye appearance

You don't need a brow lift. Your tired appearance comes from droopy upper eyelids (ptosis) and the dark circles underneath your eyes. Upper lid ptosis surgery and lower lid fillers (vs possible surgery) will improve your tired appearance. Consult with an oculoplastic surgeon.
Mehryar (Ray) Taban, MD, FACS

Los Angeles Oculoplastic Surgeon
+1

Tired appearance and browlift.

A browlift is the only permanent way to fix sagging brows. If you are ok with temporary fixes such as botox and fillers, then that will improve matters. You won't end up with a strange look if you see an experienced browlift surgeon!
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Brow lift versus fillers

Here's my opinion on your situation: 1) you said your tear trough was your main concern. I agree with your assessment. Fillers may help this. You may also require a blepharoplasty for best results, but that's hard to determine without an examination. See a local plastic surgeon to discuss these options. 2) Even though the brow position is indeed slightly asymmetrical - your brow position is not particularly low. A high brow position... more
Thomas Fiala, MD

Altamonte Springs Plastic Surgeon

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