Age 50 & increasingly tired looking face - brow lift and/or upper blepharoplasty? (Photo)

Thank you for your question and photo. You may be a candidate for blepharoplasty to rejuvenate your face. A Blepharoplasty procedure can redefine the shape of the eyes by removing any excess skin and repositioning the fat in this area to create a symmetrical appearance that is harmonious with the rest of your facial features.
An endoscopic brow lift may be the best way to address skin laxity on the forehead. This procedure uses small incisions in the hairline to lift and remove excess skin, raising the browline in the process. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can discuss your concerns with you and determine the best approach.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Endoscopic brow lift and an upper lid bleph would rejuvenate the upper third of the face. The brow would lift the middle and lateral third of the brows and the bleph would remove upper eyelid skin excess.