Is a Browlift More Appropriate Than a Blepharoplasty for me?

I am a 28 year old black male and I have notice a significant increase in swelling above my eye lids with one a little more than the other. If I sleep on my side, face down or if i am in a heated environment it gets even worse. I thought about getting a blepharoplasty surgery after speaking to 3 doctors but 1 doctor said that my eye brows are low and upper eye lid surgery would not make a difference. What should I do? because I dont want to do both if both procedures aren't necessary.

Doctor Answers 17

Blepharoplasty and BOTOX may be the solution for you

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Chronic allergies and sinus conditions may cause the eyelids to swell, creating a tired or sad appearance. Sun exposure, heredity, excessive squinting, constant eye rubbing, and the use of contact lenses promote sags and bags around the eyes. In some individuals, these conditions may even interfere with your vision. As the eyelid muscles age, they sag and create bulges.

From the photos that you have submitted, I would NOT deem you to be a candidate for a browlift surgery in my practice.  Surgically lifting your brow will create an unnatural, feminine, surprised look. Rather, I would suggest a upper eyelid surgery to surgically alleviate the heavy appearance of your upper lids - combined with BOTOX to give your brows a slight, natural elevation. 

Blepharoplasty can correct:

  1. Sagginess of the eyelids
  2. Bulging and bags around the eyes
  3. Tired or sad appearance
  4. Field of vision
  5. Some lines and wrinkles around the eyes

Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

What's causing your brow asymmetry?

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I agree from your photos that your right eyebrow is higher than your left.  There are a number of possible reasons for this. You should see a knowledgeable surgeon  before considering surgery to make certain your elevated eyebrow isn't a compensation for a droopy eyelid on the same side.  You have asymmetry in the contour of your upper sulcus (the trough above the eyelids) that wll be difficult to correct regardless of the surgery chosen so proceed cautiously. Good luck.

Nicholas Carr, MD
Vancouver Plastic Surgeon

You have to be very careful doing browlift surgery on a young male

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I think you have to be very careful doing browlift surgery on a young male because it can look unnatural. The photograph does not look to me like you need eyebrow surgery. If you’re going to have blepharoplasty, make sure the surgeon is very conservative and takes very little skin and muscle. Often in young patients getting the brows lifted is a better look. You can use a neuromodulator like Botox to give a subtle lift and a more natural look, and sometimes a filler can be used as well.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

Browlift vs Upper Eyelid Blepharoplasty

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As long as these pictures were taken with your forehead at rest, an upper eyelid blepharoplasty is the best procedure for you. The asymmetry will not be corrected.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Your brows look appropriate to me

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As best I can tell your brows look like they are in a good position.  It is gender appropriate for men to have a lower relatively flat brow.  You may want to consider other procedures besides a brow lift.

Farzad R. Nahai, MD
Atlanta Plastic Surgeon

Is a Browlift More Appropriate Than a Blepharoplasty for me?

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From your photo, your eyebrows seem like they are in good position, especially for a man.  Raising the eyebrows anymore will make your face look more feminine.  A Blepharoplasty seems like a better choice.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

Do I need a brow lift?

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Based on your pictures and age, it is unlikley that a brow lift is the right thing for you. Consider jsut having the eyelid surgery only.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

Brow lift vs upper lids

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Hard to say because in the photo the brow looks okay, but you may be elevating in the photo. You would need an in person consultation.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Browlift vs. upper blepharoplasty.

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From the photos you sent, it appears that your brows are in good position, unless you are elevating them in the photo. Therefore, upper blepharoplasty would be the choice for you.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Brow Lift vs. Blepharoplasty

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In men the brow should be at the "bony rim" of the eye socket.  In women it should be perhaps just slightly above. So the brow lift would seem to me a no.

The other question is if you would even really benefit from an upper lid blepharoplasty.  Young looking eyes are not hollow. Have your surgeon utilize computer imaging to get an idea if you would be happy with the possible postoperative result.

Byron D. Poindexter, MD
Reston Plastic Surgeon

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.