Blepharoplasty Liposuction and Brow Lift for Excess Eyelid Skin?

Dear Mon1234
The Eyebrow position is an important feature in facial aesthetics. The height of the eyebrow may change with age but more importantly the volume of the tissues around the eyes decreases in most persons. With the volume loss, the eyebrow may give less shape and frame to the eyes.
Lifting the eyebrow can give a stylized look- which if you like- is a good procedure to have done. You may do the procedures separately- eyelids first - eyebrow lift later.
With Warm Regards,
Trevor M Born MD

We certainly do not shy away from combining both of these procedures to enhance the upper portion of the face/ eye region. BUT conservatism of the browlift is important. A browlift is certainly the one procedure where the surgeon should not show how high he can lift the brows. Rather, I like to reposition the eyebrows reliably and appropriately for an aesthetically pleasing enhancement. At the time of a browlift, we have the unique opportunity to soften frown creases and forehead lines so that most patients will not require Botox treatments after a browlift.
With an upper eyelid lift, excess eyelid skin is reduced and often prominent fat removed from the inner eyelid corner (but not with liposuction because of the extremely delicate nature and specific anatomy of this anatomical region).

Treating both the eyelids and the brow together is a common approach, but I have not heard of liposuction to the eyelids. What your doctor may have been saying is that there is some fat there that would need to be directly removed, not suctioned (big difference between the two). If that is the case, his approach seems reasonable.

I read your question, and it's difficult to comment on this combination of procedures without seeing your photos.
In general, you'll look refreshed with removal of excessive upper eyelid skin. When it comes to removing eyelid fat, I tend to be very conservative or remove none at all.
I'm not a big fan of brow-lifting. The endoscopic brow lift procedure can cause elevation of the middle of the eyebrow which can look unusual. You can get natural non-invasive brow rejuvenation with BOTOX at a fraction of the price.
I've attached a link to my blepharoplasty photos for your perusal.
I hope this helps, and best regards.

Dear Mom1234
Less is definitely more.
However, this gets back to a simple issue. Not all surgeons are created equal. Doing your homework means finding a cosmetic surgeon who makes sense for you. One does not need to have the blue plate special to be improved. Did you feel your potential surgeon was listening to your concern? Did they spend time with you and address the your questions, or did you get shuffled off the the surgical counselor?
You should know that it is very important to preserve the subbrow fat and not take everything. You should not have your eye skeletonized. One of the doctors responding to your questions is actually advocating an open forehead lift, a very debilitating methods of performing a forehead lift that kills hair and leaves the scalp numb.
Let me strongly encourage you to keep looking for your surgeon. I am not sure where you live in Ohio. However, I can comfortably recommend Jill Foster, M.D. of Ophthalmic Surgeons and Consultants of Ohio in Columbus.