Would I benefit from a brow lift in addition to a blepharoplasty? (photos)

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Your brows appear to be in pretty good position and you would probably do well with just and upper lid bleph. In an open eye photo, if the lateral aspect of your brow/lid complex is a bit heavy, you may benefit from a lateral browlift. Be sure to see a facial specialist for consultation.

To fully rejuvenate the face you want to reverse signs of aging. This is due to volume loss, decent of eyebrows and excess skin in upper eyes. I do not see completely flat brows but your eyebrows should be just at the orbital rim. I think you can certainly wait but just looking at the pictures I would discuss the benefit during my consultation.
Hope that helps. Best of luck.

I would probably recommend starting with the blepharoplasty alone. You may be very pleased with this result and not have to undergo more complex brow lift procedures.

Your brow position seems to be quite acceptable based on your photos. Looking at the brow position with the eyes closed is actually a good way to see the resting position of your brows. With the eyes open, patients often subconsciously raise their brows to compensate for a droopy eyelid (ptosis) or an eyelid with significant excess skin, so its not quite obvious where the natural position of the brow is. This dynamic is often missed, not only by patients, but surgeons as well. Photos taken from a little more distance and with the eyes open will also give us more information about your lower eyelids.

Thank you for your question and for sharing your photos. It is difficult to say based on your photos alone. Your eyebrows appear to be in reasonable position, so you may not need a brow lift or may benefit from a more subtle lift. This could be performed endoscopically through small incisions hidden in your hairline. From your photos, you do appear to have some excess skin in your upper eyelids, which could be addressed with an upper eyelid lift. However, it would be helpful to see photos with your eyes open, as well, to determine the best treatment approach. It is hard to tell from your photos, but you appear to have some skin excess/laxity in your lower lids, which may benefit from a lower eyelid procedure. Alternatively, you may be a candidate for a non-surgical skin tightening procedure like Thermage to address this area. I offer both surgical and non-surgical treatments and tailor the approach to meet my patient’s goals, including their timeline and budget. I recommend meeting with a fully-trained plastic surgeon who offers surgical and non-surgical treatments to discuss your options.

Thank you for your question. You cannot benefit from eyebrow lift surgery alone without eyelid surgery. There is too much excess skin on your upper eyelid, no matter how much we lift your eyebrow, it will not disappear. There are also wrinkles on your lower eyelid. Therefore, if you have brow lift surgery together with upper and lower eyelid surgery, you can have a much more beautiful fresh appearance. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Hi,
I think your brows could benefit from a conservative lift with more emphasis placed on your left brow due to a little asymmetry (which everyone has). Upper eyelid Blepharoplasty would also be of benefit and as for the lower eyelids, it’s difficult to tell based on these pictures as eyes are closed. Looking straight on or up with eyes open is easiest way to assess this in photos. Your lower eyelid skin quality could benefit from laser resurfacing, which improves texture and can give some tightening as well. I hope this helps and good luck in your journey.

When making the decision about a brow lift, your eyes must be open then we look at distance between your eyelids and your eyebrows. From the limited photographs, it appears that your eyebrows are in an acceptable position. You do have extra skin on the upper lids for which an upper blepharoplasty can improve. The goal of lower blepharoplasty is to remove fat bags creating the puffy look.

Like much of plastic surgery, there is no substitute for an in person exam and consultation.You do have excess skin of the upper lids for which an upper blepharoplasty is probably reasonable. Although your brows appear to stay in a normal position, only an exam can tell if they would descend from tightening the tissues of the upper lid, thus indicating the need for holding the brow up. Your photos are not adequate to tell whether a lower blepharoplasty is indicated. Find a local plastic surgeon who is an expert in peri-ocular rejuvenation.