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Is a browlift a solution to eyelids that hang the eyelashes?

What are the advantages and disadvantages of a brow lift for ptosis? 

Doctor Answers (10)

Brow lift for droopy eyelid skin

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It is very difficult to answer your question without seeing more pictures – you should consider posting more images showing your areas of concern.  But the short answer is that it depends on your brow position - if the brows are low in position you should consider a brow lift instead of an upper blepharoplasty


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

Blepharoplasty , Browlift or Both

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It depends on the anatomical scenario. If it is the eyelids themselves that are positioned too low, then the answer is surgical correction of the eyelid ptosis. If the position of the eyelids is secondary to a lowlying brow, then an endoscopic brow lift may need to be performed. In certain cases, a combination of both procedures may be necessary.

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 23 reviews

Skin on the eyelashes

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most of the time the best option for the problem you describe is skin removal of the upper eyelid, or an upper Blepharoplasty. A brow lift might correct the problem, but it also might leave you looking unnatural.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.0 out of 5 stars 6 reviews

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Browlift or Eyelid Surgery for excess eyelid skin?

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A browlift or forehead lift is performed to elevate  eyebrows that are too low. A blepharoplasty or eyelid lift will remove excess skin and soft tissue from the upper eyelids. The most important part of an exam is determining if the excess soft tissue and weight on the upper eyelid is due to :

1. excess skin/soft tissue on the eyelid alone = blepharoplasty procedure

2. low brows resulting in excess skin and weight on the upper eyelid = browlift procedure

3. a combination of low brows and excess eyelid soft tissue = browlift and blepharoplasty procedure .

 

 

Cynthia Gregg, MD
Raleigh-Durham Facial Plastic Surgeon

Is a browlift a solution to eyelids that hang the eyelashes?

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Is a browlift a solution to eyelids that hang the eyelashes?

Perhaps.  Until the plastic and cosmetic surgeon stands behind you and raises your eyebrows into their proper aesthetic position, there's no way to tell if the upper eyelid fullness is due to low eyebrows or true upper eyelid skin excess.  The treatments are very different and are often mutually exclusive, so this is a key step in evaluating upper eyelids.

Low Eeyenrows require a Brow Lift, while true upper eyelid skin excess can be treated with an upper eyelid surgery  (Blepharoplasty).

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

Can be a solution, but might need a blepharoplasty as well

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endoscopic browlift can be a solution for excessive eyelid laxity; however in many cases a combination of upper blepharoplasty (eyelift) and brow lift is needed if the laxity has reached the eyelashes and the eyebrows are severly depressed.  A full examination and analaysis is required to determine...

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Brow lift for ptosis?

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  A brow lift will not fix true eyelid ptosis (blepharoptosis or just ptosis).  For that you need ptosis repair by an oculoplastic surgeon.  If it is just excess upper lid skin, then brow lift or blepharoplasty would be the answer.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.5 out of 5 stars 42 reviews

The Advantages And Disadvantages of Browlifts

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I assume when you refer to correction of ptosis you are referring to that of the eyebrow and not the eyelid. There are different kinds of browlifts which fundamentally differ by either excision of scalp or forehead tissues or shifting of the forehead up and back to lift the eyebrows. If one has a long forehead as defined by the distance between the eyebrows and the hairline, then a hairline excisional browlift is best. If the forehead is short or of average length then an endoscopic or scalp shifting approach is best. Browlifts do a good job of lifting the brows and, in so doing, partially 'remove' some of the upper eyelid skin. Their disadvantages are that they are not always good at ideally shaping the eyebrow and can result is some temporary vs permanent scalp numbness.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 27 reviews

Browlift in patients with brow ptosis

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If the brow position is below the the supra-orbital rim causing the apparent excess eyelid skin, brow lift is necessary to get a pleasing aesthetic result. In that situation if only eye lid skin is removed eye brows might come down even more. During consultation Plastic surgeons will determine how much brow ptosis is contributing to the problem by manually elevating the brow to where it should be.

Raj Chowdary, MD
Allentown Plastic Surgeon
4.0 out of 5 stars 5 reviews

Browlifts are key to eyelid aesthetics

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Most upper eyelid problems are easily corrected with a browlift.

The brow position is the most fundamental determinant of upper face aesthetics and is essential to achieving a youthful and elegant appearance.  My technique is entirely endoscopic with no tissue excision at all allowing for ideal correction. In most individuals the seeming excess eyelid tissue will disappear after the browlift.

Rarely there is need for a minor additional trim of tissue or often better-tightening with laser resurfacing.

The results are incredibly natural and essentially permanent.

Ludwig A. Allegra, MD
Seattle Facial Plastic Surgeon
3.5 out of 5 stars 3 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.