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Internal Brow Lift with Upper Eyelid Surgery?

asked 1 year ago by Boise495 in Boise, ID
Latest answer by Daniel Greenwald, MD
Question viewed 314 times
Tags: combination, recovery, sutures

I have interviewed several doctors concerning surgery on my upper eyelids. All of them said I would only need excess skin removed but one of them suggested doing an internal brow lift at the same time. I am already nervous about this operation and don't want to do anything that would add more risk or a longer recovery time. Would having an internal brow lift do this? Also, if my brows are sutured to my forehead will it look strange as I continue to age?

13 answers to Internal Brow Lift with Upper Eyelid Surgery?

Internal Brow lift during eyelid surgery

I've performed eyelid surgery and brow lifts for over 20 years and something doesn't add up IMHO. If during your consultation(s), the surgeons mentioned that your eyebrows were low...which is a critical part of evaluating upper eyelid fullness, then a brow lift should have been recommended along with your upper eyelid surgery. If that was not discussed, your brows are most likely not low. A brow tacking suture can be placed through the upper eyelid... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Browlift and eyelid surgery for upper lid lift

Whether or not to perform a browlift in conjunction with upper lid lifting is determined by these things: brow position relative to the top of the eye socket; brow shape and orientation; the degree to which descent of the brow contributes to excess upper lid skin. Be aware: when excess upper eyelid skin is removed eyebrows sometimes fall. This is because once the eyes are more easily held open the muscles that raise the brow can relax, lowering the position of the brow... more

Daniel Greenwald, MD
Tampa Plastic Surgeon

Internal Brow Lift with Upper Eyelid Surgery

Sometimes the brow droops such that it crowds down on the upper eyelids, making you feel as though you have excess skin in that area. However, sometimes instead of reducing the amount of skin covering the eye, the most natural way to fix the problem is to raise the brow. If you feel like you have too much skin in the upper eyelids, raise your brow to a level just above the bony ridge over the eye. If there is still excess skin, it would be great to have just upper eyelid surgery. If the... more

Ricardo Rodriguez, MD
Baltimore Plastic Surgeon

Brow lift and Eye lift are two major ways to rejuvenate the upper third portion of the face

Brow lift and Eye lift are two major ways to rejuvenate the upper third portion of the face. You could be a great candidate for a brow lift if the distance from your eyelid margin and eyebrow is less than 1 iris width (the colored part of your eye). This distance is ideally one iris width. If the brows are elevated above one iris width you could look surprised. An eyelift will remove extra tissue from your eyelid and also help. The recovery is substantially longer with a... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

Internal brow lift at the time of eyelid surgery is not equal to a forehead lift!

In my opinion, and as someone who does an awful lot of these procedures, it won’t make a lot of difference either way. An internal brow procedure doesn’t really lift the brow so much as it prevents slight descent resulting from upper eyelid surgery. It is not really the same as an aesthetic forehead or brow lift procedure. If it increases your anxiety about having the procedure, I would counsel you to pass on it. You will likely be well satisfied... more

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

Internal Brow Lift with Upper Eyelid Surgery

Generally speaking, and upper eyelid Blepharoplasty (in isolation) will decrease the distance between the upper eyelid crease and the eyebrow, thereby lowering the brow somewhat. This is an acceptable trade off is some patients and not in others; only a thorough examination can determine this. A well performed brow lift should make you look better, more relaxed, but not "strange". Personally, I am not a big fan of the trans-Blepharoplasty brow lift; an Endoscopic... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Internal Eyebrow Pexy with upper eyelid surgery

Brow pexy is a common procedure which I perform with my upper eyelid surgery when there is either a discrepancy in the height of of the eyebrows or the eyebrows are positioned too low on the forehead. In my opinion it does not add any additional time to the healing of the surgery in that it is performed through the same eyelid incision. I have not noticed any adverse affects in my patients as they continue to age. It is difficult to make any comments on your case... more

Stephen A. Chidyllo, MD
Red Bank Plastic Surgeon

Brow lift with eyelid surgery

Brow position is super important and if you brows are indeed low, you would likely be well served with some sort of brow lift. If only the eyelid surgery is done and your brows are too low, the eyelid surgery may pull your brow down some and it will not give you the best result. Also, if too much skin is removed, a brow lift in the future may not be possible. Be sure the two docs who said no to brow lift acutally know how to do a brow lift. There are some doctors who... more

Lisa L. Sowder, MD
Seattle Plastic Surgeon

Brow Fixation with Upper Blepharoplasty

Without an examination it is impossible to advise you. Even pictures do not give enough information, since your brow muscles may keep your brow at the correct position, and the need for fixation will not be evident. If they are doing so, then adding brow fixation will prevent problems postoperatively and also improve the look of your brow. This is a judgment call that requires significant experience. The procedure should add no time to your recovery and essentially no risk. Look at the... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Most surgeons have a "love/hate relationship with the brow lift

There are many ways to do a brow lift, but all of them add additional recovery, expense, and possible complications to upper eyelid surgery. However, there are many patients who must have a brow lift to achieve a great result. Unfortunately it is difficult to add a brow lift after a upper lid blepharoplasty for some time due to the possibility of lids that do not close. If done at the same time, the surgeon can adjust accordingly. The consensus seems to be that most surgeons can give you... more

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

Upper blepharoplasty with or without brow lift.

The answer depends on your eyes and brows and the surgeon's skill. I do a brow lift that does not make the patient looked surprised with or without doing upper lids in 80 percent of my caucasian patients. Without photos it is difficult to say. If you have hooding at the sides of your eyes you probably would be a browlift candidate.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

To brow lift or not to brow lift, that is the question?

Dear Boise495, Hard to advise without photos. I suggest that you ask the "brow lift" surgeon to show you photos of the results from his brow lift done on some other patients. You might be able to better see if you would like the change that he expects. Good luck.

Craig Harrison, MD
Tyler Plastic Surgeon

Browlift may enhance upper eyelid result

When considering upper facial rejuvenation brow position is an important part of the overall evaluation. Without photos it is difficult to offer any insight on the need for browlift in your case but many patients do benefit from concurrent brow and upper eyelid surgery. Recovery time is generally similar with or without browlift.