Bleph or brow lift or both? (Photo)

Hi dear. No you need both eyebrow lift and upper eyelid. Only upper eyelid will be very bad. Please contact with us for more info.

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Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct excess upper eyelid skin, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

The photos that you have provided seem to tell two different stories, The photo in which you are holding your brow elevated would indicate that your lateral brow has ptosis and once that is elevated there may actually be less of a need for an upper eyelid bleph. The other photo shows almost nothing wrong with your upper eyelids and brows. An in person or virtual consult would likely be necessary for an accurate assessment.

Eyelid surgery does not affect eyebrow lifting, so you can easily decide to have eyebrow surgery. Eyebrow lifting should be done when Botox has stopped working.