Upper eyelids vs. Brow lift. Why do I need brow lift instead of just my eyelids?

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As we age, our brow descends from gravity and the downward pull of the muscles used to squint and frown. In addition, the fat from behind our eyes moves forward and settles in our eyelids, thus creating those heavy, puffy lids.

One way to determine if you need the brow or just eyelid surgery would be to look in the mirror and try this. If you like your look best when you lift the whole brow or pulling it up with your fingers to get the look you like – then you may require a brow lift. On the other hand, if you find you are satisfied by just pulling the extra skin on your lids forward, then maybe you only need eyelid surgery (blepharoplasty) for correction. To determine the dynamics of what procedures will be suit your goals for upper face rejuvenation is something I review during a consultation. I touch on the pros and cons of doing eyelids and brow together, or separately, and also which type of brow lift may be best suited (endoscopic, traditional, temporal, etc.) to achieve a rested more youthful look.

On another note: sometimes it may be just BOTOX® injections that can provide enough of a brow lift to avoid brow surgery for now. Even better for the patient, by doing these injections regularly in the forehead may ultimately slow the rate at which the brow will descend over time.
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West Palm Beach Oculoplastic Surgeon