Am I a Good Candidate for Brow Lift and Blepharoplasty?

My eyebrows droop inwards too much, and I always have to lift the inner area up to stop the heavy feeling from my forehead and to keep from having an angry looking expression (which has caused deep forehead wrinkles). My upper eyelids always look a little puffy no matter how much I sleep.

Would a brow lift combined with eyelid surgery be the right procedures to fix the problem, or is there anything else you would recommend me to do? Attached is a picture of my normal, relaxed expression.

Doctor Answers 19

Candidate for browlift?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You look awfully young to be having this type of surgery. Many patients simply have a more "brooding" brow, and do not need to try to conform to many of the published norms for brow positioning. Instead of making the patient look more handsome, excessive surgery can have the unintended consequence of making people look bizarre. There are plenty of models whose characteristics resemble yours.

If excessive frowing is an issue, Botox or Dysport are options to relax the muscles. A skilled physician can micromanage muscle position with Botox or Dysport as well.

For more details on browlifting, you may wish to read our chapter in the textbook Mathes, referenced below

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 191 reviews

I Would Recommend Using Botox

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Occasionally, brow descent is seen in younger patients.  When this happens it’s not unusual for them to be concerned about the appearance of a constant scowl on their face.  This leads them to seek some type of intervention.

                  In older patients, surgeons wouldn’t hesitate to recommend a brow lift in this situation.  In younger patients this decision is much more difficult because of the potential for scarring and the possibility of balding.

                  For these reasons, most surgeons would recommend the use of botox.  This treatment targets the depresser muscles of the forehead and typically last 3 to 4 months.

                  Although a brow lift would elevate your brow, it’s probably not the best solution for you.  Botox would provide a reversible solution that is associated with minimal complications.

                  Consultation with a board certified plastic surgeon would be an appropriate next step.  This surgeon can advise you regarding the best option for achieving your aesthetic goals.

Brow lift in a young male

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Brow lifting in a young male is not usually a good idea. It would feminize your face and leave you with a permanent scar that may become more noticeable if you experience male pattern baldness.

A much better option would be a non surgical brow lift with Botox. Try it, if you don't like it, it will wear off in 3 months.

David Finkle, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 81 reviews

You might also like...

Brow lift vs eyelid surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I fully agree with my colleagues that advise you to do nothing.  Your brow position is normal for your anatomy.  The inner aspect of your brows are over the margin of your orbital rim (normal position).  

Joseph N. Togba, MD
Oakland Plastic Surgeon

Am I a Good Candidate for Brow Lift and Blepharoplasty?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Your concerns make me believe that Botox is your best answer.  An eyebrow lift would raise the eyebrows, but is that what you really want?  If you manually lift up your eyebrows, is that the cosmetic look you want to achieve?  The angry look and heaviness of the inner area of the eyebrows as you describe it would probably be improved with Botox to your frowning muscles.  It is a quick procedure and in 3 to 5 months it goes back to the way you were if you don't like it.  I certainly would recommend you try this before permanent surgery, especially at your age.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

Conservative options first

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

We all agree that you do appear young and youthful. Whatever you decide to do, a blepharoplasty will not help you and may make things worse. A brow lift will likely help, but I would be hesitant to perform that unless it really interfered with your life. Try the more conservative options first.

Edmon Pierre Khoury, MD
Lone Tree Facial Plastic Surgeon

Browlift is an option, but hold off on blepharoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

According to the picture the patient has brow ptosis and a browlift would seem to be in order. I would probably hold off on doing blepharoplasty based on the amount of excess skin present once the brows are lifted and resuspended. You can always perform blepharoplasty as a secondary procedure down the road if needed. During the browlift, the corrugator muscle complex can be softened along with the frontalis, creating forehead and frown lines.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

Try Botox to elevate your brow before considering brow lift surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I do see the medial (near the nose) depression of your brow which is bothering you. A brow lift with resection of the frown muscles will improve your medial brow position.

However, this would leave scars which are unacceptable on a young person like you.

Comboining brow lift with blepharoplasty is very risky as often this leads to difficyulty with eye closure so I would not do both.

Botox can be used to relax the muscles which pull the brow down and actually lift the brow about 6 millimeters in most people.

This is a safe alternative which I would try first.

Browlift and blepharoplasty in a male

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It appears as though your eyebrows are in a good position for a male.  If you lift your eyebrows, it may give you a surprised look and you may not be happy.  However, removing some of your upper eyelid skin may help to get rid of the tired look of your eyes and improve their appearance.

Blepharoplasty and Browlift

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Judging your photos, I would agree with the rest of the surgeons here.  You have a youthful appearance and have a male position for the eyebrows.  You are not a candidate for any periorbital surgery and would recommend like the rest about perhaps some subtle grooming of the eyebrows.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.