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Am I a candidate for a brow lift AND an upper/lower bleph? Sick of my heavy brow bones weighing my upper face down. (Photos)

Ready to finally tackle the lifelong insecurity that is my hooded eyes. My heavy brow bones make me look tired and masculine, i cant wear eyeshadow or eyeliner, botox hardly corrects it and my extremely hollow temples honestly just make Botox look weird and unnatural. When I smile, i get this intense roll beneath my lower eyes as well that extend outward and into my crows feet. What can or should be done rather? Ready to book asap.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Gary M. Horndeski, MD
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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Mar 19, 2026
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Andrew Miller, MD

It is possible that a browlift by itself could get rid of the extra skin within the eyelid. During consultation, that can be evaluated. Doing only upper eyelid surgery could work, but usually we don't do that in someone so young. Be sure to see a facial specialist for consultation to see what...

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Kyle Kimura, MD

Thank you for your question and photo. It is hard to definitively say what is leading to your asymmetries and I would likely start with a CT scan of your face looking particularly at the orbit (the bone that holds the eyeball within it). If this is the cause, it may be necessary to augment the...

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Mehmet Ozdemir, MD

Thank you for your question. Based on your photos, the heaviness over the eyelids may be related to a low brow position. A brow lift can help elevate the brow, and in some cases, an upper blepharoplasty may also be recommended to remove excess eyelid skin. A detailed evaluation would help...

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Nelson Lee Novick, MD

At least from the photo provided, there appear to be (with smiling) crow's feet to the sides of the eyes, "jelly roll" bulges under the eyes, and perhaps a very slight downturn at the tails of the eyebrows. Before jumping to any aggressive and expensive surgeries that also engender significant...

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Lexie Wang, MD

I think you are a borderline candidate for the brow lift. The reason that it may have been suggested to you is that you have a downward tilt of your eyebrows, kind of like a sad puppy eye, which typically is not a look that most people have and is associated with aging (the tail of the brow...

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Lexie Wang, MD

You must have very strong corrugator muscles, which is why you're requiring high dosages and it's wearing off fast. Unfortunately that is something that likely is habitual (I find people who do a lot of screen work struggle iwht this). Doing tox is going to be the best thing for you long-term,...

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