48, female, medium skin tone - Upper blepharoplasty or brow lift? (Photos)

You are a great candidate for upper blepharoplasty surgery. Blepharoplasty makes eyes look younger and rejuvenated by removing excess skin, fat, and muscle to help patients look more vibrant. It also reduces the appearance of loose skin in and around the eyelids and can also improve the appearance of bags under the eyes. In your case, you will definitely look at least 10 years younger. I highly recommend this procedure for you.

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for another upper bleph procedure to remove additional excess skin to your eyelids. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!

Your eyebrows are below the level of the orbital rim and they should be above the level of the orbital rim in females. You would benefit from a brow lift. This will lower the hairline and decrease the vertical height of the forehead. The brow lift can also be extended down to the ear and do a lateral eyelid lift as well.

Best Wishes,

Gary Horndeski, M.D.