Do I need an upper blepharoplasty or brow bone shaving to fix this? (Photos)

Question

I seem to have protruding eyelids/eyebrow bones,I have had this since I was a baby, it can be seen in baby photos.Based on photos do you think it’s possible that an upper blepharoplasty could make it less protruding?The hump that’s on the outer edge of lid and the bump on the tail of my eyebrow bothers me.I wish it was more flat. It’s more prominent in one side.I was considering bone shaving but that seems very extreme and expensive and it doesn’t seem like there are many surgeons that do it.

Kenneth D. Steinsapir, MD · Answer

Unfortunately, there are surgeons out there offering this wretched surgery.  Your are messing with one of the most important aesthetic features of your face.  When you wreck this, there will be no getting it back.  Generally messing with the bone at the orbtial rim is based on a faulty understanding of periocular aesthetics.  The real issue here is what is called latent ptosis.  A detailed personal assessment would determine if you are compensating for early ptosis with compensatory eyebrow elevation.  You did not mention prior botox treatment but forehead botox treatment can also be an issue.  These issues can cause the lateral eyebrows to flare.  The fix is avoiding forehead botox or surgically correcting the latent ptosis and performing an anchor blepharoplasty to preserve upper eyelid fold volume.  An average blepharoplasty will make you look older and deplete so considerable care is advised in looking for this service.

Samuel Baharestani, MD, FACS · Answer

Thank you for sharing your case and photos.  You have a pretty complex condition, so I think that you would benefit from seeing a specialist.  Blepharoplasty will definitely help to remove some of the excess skin from your upper eyelid.  I don’t know of any technique to “shave the brow bone,” so be careful with considering this option.  You have prominent brow fat pads that may benefit from either a lift or from filler injections to the temporal hollows to camouflage the part you don’t like.  I think that you should start with a consultation to discuss your goals and to more accurately examine your unique anatomy.  Good luck!

Barry L. Eppley, MD, DMD · Answer

A blepharoplasty (skin removal) is not going to remove the brow bone protrusion or what you describe as a bump one the tail of the brow bone. A blepharoplasty incision can, however, be used for access to do tail of the brow bone shaving.

Leon Goldstein, MD · Answer

Board certified plastic surgeons with credentials from the ABPS can perform all sorts of complex procedures including bone surgery. You first need to see an ABPS surgeon to determine what you truly need.

Do I need an upper blepharoplasty or brow bone shaving to fix this? (Photos)

Answers (4)

Answer: Bleph or bone shave

Answer: Bleph or bone shave

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Do I need an upper blepharoplasty or brow bone shaving to fix this? (Photos)

Answers (4)

Answer: Bleph or bone shave

Answer: Bleph or bone shave

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.