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Brow Lift vs Blepharoplasty

Please tell me who is a good candidate for each of these surgeries and what results can be expected.

Doctor Answers (24)

How to figure out whether you need a brow lift or blepharoplasty (or both)

+3

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 corner of the brow begins at the root of the nose, and gently climbs to higher level, reaching its peak typically somewhere half way between the pupil of the eye and the outside corner of the eye, and then dropping down at the temple. While in a woman the brow is ideally above the level of the bone and curves upward on the side, in a man, the brow is typically at the level of the bone and tends to be more horizontal.

Now that we have an idea of the ideal brow position, a rather simple test can be performed to see whether you are a good candidate for a brow lift:

  • Stand in front of a mirror and look straight ahead.
  • Make sure that you are not intentionally lifting up your brow.
  • Place the index and middle fingers of both hands, half way between the brow and the hairline, one aligned with the center of the brow and the other at the outer corner of the brow.
  • Gently lift and glide the forehead skin up toward your scalp. Go back and forth a few times, seeing the effect of the simulated brow lift on the shape of your eyes.
  • Try turning your head away from the brow, toward your nose, and again glide the forehead skin up toward your scalp, seeing the effect of the lift on the side of your brow.
  • If you like the look of your eyes with this maneuver and if the crease of your eye becomes more visible and the eye appears more alert and youthful, then you may be a good candidate for a brow lift.

If your brow is resting in a good position but there seems to be excess fullness and folded skin obscuring the crease of your eye, then you may be a better candidate for an upper eye lift. Results of an upper eye lift are more difficult to simulate than a brow lift. An eyelift can typically improve the excess droopy skin that covers the cease of the upper eyelids and in some people can even rest on the upper eyelashes. Eye lifts do not elevate the brow position, and, in fact, can sometimes slightly lower brow position. Lower blepharoplasty or lower eye lift can improve bagginess of the lower eyelids and the excessive wrinkling that some of us get on the skin of the lower eyelids.

For more information and before and after photos visit:

http://www.seattlefacialsurgery.com/html/eyelid_n_brow_lift.php


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

Browlift vs. Eyelid Surgery

+2

Two procedures that can improve the region around your eyes are browlift and eyelid surgery. The browlift can raise the eyebrow position, and this elevation in the eyebrow will pull the lax skin of your upper eyelid. It does not effect your lower eyelids. The browlift is a total different operation compare to eyelid surgery. It is usually perform behind the hairline in the scalp region. It can be performed with an endoscopic or by an open technique. The scars are nicely hidden. The eyelid surgery is a surgery which directly effects the area around the eyes. It can address both the upper and lower eyelids. In order to decide which operation is best for you, you should see your plastic surgeon for a consultation.

T.Y. Steven Ip, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 4 reviews

A brow lift is different from a blepharoplasty. A...

+2

A brow lift is different from a blepharoplasty. A blepharoplasty is a procedure which is used to decrease upper eyelid skin or remove lower eyelid skin or bags around the lower eyes. A brow lift does just that - it lifts the eyebrows.

In some people, both procedures are needed to obtain optimal results.

To determine if you are a candidate for a brow lift, lift your forehead with your hand and place your eyebrows in a natural position. If this causes improvement in your upper eyelids, you may be a candidate for a brow lift.

Patients with excess skin of the upper eyelids are candidates for upper eyelid blepharoplasty. If you have excess bags under the lower eyes or excess skin of the lower eyelids, you may be a candidate for lower eyelid blepharoplasty.

As always, consultation with an experienced surgeon will help to determine which procedure is best for you.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
4.0 out of 5 stars 13 reviews

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Brow Lift vs. Blepharoplasty Surgery

+1

First, I think it is important to understand the difference between the two surgeries: A brow lift addresses the position of the brows and an upper blepharoplasty addresses extra skin on the upper eyelid.  During a brow lift, I make small incisions using an endoscope to lift up the forehead skin and tissue.  This helps to elevate the brows.  To a modest degree this also will pull on the upper eyelids and open up the eyes.  During an upper blepharoplasty, I remove excess skin from the upper eyelids which enhances the eyelid crease, makes the eyes stand out more, and improves visibility.  In order to determine which procedure you would like to have, it is important to determine what your concern is.. heavy eyelids, forehead or both?  Then discuss this with a board certified facial plastic surgeon or plastic surgeon to determine if you are a good candidate for the procedure. I hope this helps!

Paul L. Leong, MD, FACS
Pittsburgh Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Computer Imaging May Help Determine if Browlift or Blepharoplasty is Best for You

+1

Facial aging affects the entire face, but no where is it more apparent than in the periorbital region. Aging in this area not only makes us look older, but also changes the way we are perceived by others. 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 procedures.
With aging, we develop redundant eyelid skin with prominent fat pads. This is typically one of the earliest signs of facial aging. As time goes on the brows start to drop, as well. This is typically associated with transverse forehead wrinkles and vertical frown lines as we subconsciously compensate for our brow sag.
At first it would seem that this is a relatively simple problem, all you need to do is fix each of the individual components of the aging process. In reality, it’s much more complicated because the soft tissue of the brow interacts with the soft tissue of the eyelids. For example, lifting the brow is frequently accomplished by a decrease in eyelid skin laxity.
It’s safe to say that any given patient may need blepharoplasty, brow lift, or possibly both procedures. Therefore it’s essential that careful analysis be performed by an experienced plastic surgeon before surgery is undertaken. Computer imaging is an important part of this analysis for both the patient and surgeon. By utilizing this approach, the patient’s aesthetic goals may be more easily accomplished.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 78 reviews

Browlift vs. Blepharoplasty

+1

A brow lift (forehead lift) softens deep creases across the forehead, reduces frown lines between the eyebrows at the top of your nose, and can elevate drooping eyebrows. The result is a more relaxed and refreshed appearance.

Cosmetic eyelid surgery (blepharoplasty) removes excess fat and wrinkled, drooping skin from the upper eyelids. It also eliminates bags under your eyes and tightens your lower eyelid skin. The result is a more rested appearance.

 

Gregory A. Wiener, MD, FACS
Chicago Plastic Surgeon
5.0 out of 5 stars 25 reviews

Brow Lift or Eyelid Lift?

+1

Look into a mirror  totally expressionless. Are your eyebrows above the bony rim of your eye socket? It is, and has been, since people started to notice beauty, that your eyebrows should be positioned above the out the bony eye socket. This is why for centuries women have always shaved their eyebrows and penciled them in above the bony rim. If your eyebrows are sitting on your eye lashes it is not an eyelid lift operation that you need. Put your hand on your forehead and raise your eyebrows. You may find out that upper eyelid surgery is not what you need, or you may need both. 

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 25 reviews

Do I need a Brow Lift or a Blepharoplasty or Both ?

+1

If your brow at  rest is low, especially the outer portion, then a brow lift is indicated. If the brow is low at rest then gently lift it with a finger to the desired height and examine the upper eyelid skin. It there is still redundant skin then you need both a Brow Lift and Upper Blepharoplasty. On the other hand, if your brow is  in a good position but there is redundant skin and  excess fullness and , then you may be a better candidate for an upper eye lift. 

A Blepharoplasty  improves  excess droopy skin that often covers the cease of the upper eyelids, sometimes can even rest on the upper eyelashes. Eye lifts do not elevate the brow position, and sometimes slightly lower brow position which makes sense if you are removing skin between the lashes and the Brow.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 47 reviews

Brow Lift vs Blepharoplasty

+1

 This depends on whether you are a man or a woman and if you have low eyebrows and or excess upper eyelid skin.  Aesthetically speaking, the eyebrows and eyes are different in men than they are in women and these differences must be maintained after plastic and cosmetic surgery or the individual appears odd and operated upon, not more naturally attractive.

 In general terms, men rarely require Brow Lifts to elevate the brows and can have upper eyelid surgery to remove about half of the excess upper eyelid skin which maintains the proper aesthetic appearance for a man.

 Women, on the other hand can have both procedures and which is appropriate will be and can only be determined by the surgeon raising the eyebrows, during the consultation, into their proper aedsthetic position and then determining if any and how much upper eyelid skin still remains once the brows are thus elevated.  This determines the proper procedure and if this is violated and the wrong procedure performed, the eyes may not close and/or the eyebrows can be pulled down into a lower position...both are not aesthetically correct or attractive, IMHO.

 For that reason, be sure the plastic and cosmetic surgeon, yopu select understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.

 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Browlift and Blepharoplasty

+1

As you age, the brow starts to drop and as the brow drops excess skin falls over the upper lid.  In most cases, people could use a little brow lift and a little trim of the upper eyelids.  In the past, browlifts were bigger procedures and patients objected to the scars and down time and most people opted for just the eyelid surgery (Blepharoplasty). 

However the most natural results happen when you fix multiple areas moderately rather then one area over-aggressively so most people look good with both.  The brow lift is fixed first and then the eyelids are reassessed.  Often less skin is needed to be resected. 

My recommendation is to find a surgeon who performs both and let them evaluate and advise you.  They have had years of training to help you navigate through these very issues.  Good Luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.