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45, 4 kids, over 100 pound weight loss - Upper bleph or brow lift? (Photos)

I’ll be turning 45 this summer, I’ve also had four children and l lost over 100lbs two years ago. I have always had one “lazy” eyebrow bur it had become more pronounced and I’m self conscious of ir and the hallows of my eyelids themselves. Would a cosmetic procedure be appropriate right now?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Zoran Potparic, MD
Zoran Potparic, MD profile photo
Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 146 Reviews
Answered on Apr 30, 2026
Answer
Dr. Michael McCracken, MD
Dr. Michael McCracken, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
Answered on Apr 29, 2026
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Based on the photo, this may appear consistent with ptosis. However, surgical planning should not be made from photos alone. Factors such as eyelid muscle function, tissue elasticity and crease position need to be evaluated during examination. If ptosis is confirmed, ptosis surgery can improve...

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Hi Unfortunately your photos are taken looking up so it is hard to know if the main problem is dropped brows or excess skin in the upper lids. What I can tell you is that from my perspective the upper lid tuck is the best cosmetic operation we do - it makes you look younger, opens the eyes,...

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I understand how distressing it is to feel that your concerns are being dismissed, especially when you are dealing with both a physical sensation of tightness and a "crepey" texture that doesn't align with your age. From a clinical perspective, the issues you are describing the skin laxity on...

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Gary M. Horndeski, MD

Your photograph is somewhat limited but your eyebrows are below the level of the orbital rim. You may benefit from a browlift. This will pull up the eyebrows and lower your hairline. I need photographs with your full face to give you a more accurate answer. Best Wishes, Gary Horndeski, M.D.

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This is a very difficult problem to deal with. It does not appear, at least on this photo, that you have eyelid ptosis but this needs to be confirmed with in-person evaluation. Removal of skin on right eyelid with fat grafting of left would be one of the possibilities? Good luck.

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Based on the side photo, it looks like your brow hangs low over your eyelids. This may make a brow lift more suitable.

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