44F, upper eye bleph or brow lift for hooded eyes & forehead lines? (Photos)

Question

I am a 44F and my eyelids have begun to look very heavy. I have hooded eyes and as i am aging i am starting to look tired and mad. I can’t see my makeup on my eyelid. My other issue is I have very distinct lines on my forehead. Botox/Dysport only lasts about 2 months for me. Would i be a better candidate for a forehead lift or upper eye bleph given both issues??

John Michael Thomassen, MD · Answer

An open brow lift and upper lid blepharoplasty would address both concerns with minimal scarring and quick recovery.  It can be done in the office setting with IV sedation.  A lower lid transconjunctival bleph can also be done to correct lower lids bags.

Gary M. Horndeski, MD · Answer

Your eyebrows are at a good level but you have forehead wrinkles and you have a receding hairline. I recommend a brow lift. This will lower your hairline, decrease the vertical height of the forehead and get rid of the forehead wrinkles. You would also benefit from an upper blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

C. Blake Perry, MD · Answer

You would certainly benefit from upper eyelid surgery. An in person consultation would help determine if a browlift would also be a good option for you. One common misconception is that a browlift alleviates the need for neurotoxin. You would still need neurotoxin to help prevent wrinkle formation, although typically less of an amount. Best to see an eyelid expert.

Lexie Wang, MD · Answer

I would recommend both!  The brow lift will help so that you aren't always trying to lift your brows, thus smoothing out the forehead lines. The upper bleph will help wtih the eyelid skin. You may still need dysport/botox going forward but hopefully you can get by with less.

Zoran Potparic, MD · Answer

Based on these photos it is very likely that both blepharoplasty and brow lift should be considered. In person consultation with a board certified plastic surgeon with expertise in periorbital rejuvenation is recommended.

Pawel Szychta, MD, PhD, DSc · Answer

Given your concerns about heavy, hooded eyelids and prominent forehead lines that aren't adequately managed by Botox or Dysport, both an pper blepharoplasty and a forehead lift (brow lift) could be beneficial, but they address different issues:- Upper Blepharoplasty: This surgical procedure removes excess skin and sometimes fat from the upper eyelids. It can reduce eyelid heaviness, make your eyes look more open and alert, and allow your eyelid makeup to be visible again.
- Forehead Lift (Brow Lift): This procedure elevates the brow position, which can smooth out forehead wrinkles and reduce the appearance of sagging or hooded eyelids caused by a low brow. It provides longer-lasting results compared to Botox/Dysport for forehead lines. If your primary concern is the excess skin on your upper eyelids and not being able to see your eyelid makeup, an upper blepharoplasty may be sufficient.If you want to address both the heavy eyelids and the deep forehead lines, a forehead lift might be more appropriate, as it can elevate the brows (reducing upper eyelid hooding) and smooth forehead wrinkles simultaneously.Combination Approach: Some patients opt for both procedures to achieve optimal results, addressing both eyelid heaviness and forehead lines comprehensively.
It's important to consult with a board-certified plastic surgeon or oculoplastic surgeon who can assess your facial anatomy and discuss your aesthetic goals to recommend the most suitable option for you.