Blepharoplasty or brow lift? Can I do well with just eyelid surgery? (Photo)

The brow and upper eyelid skin are both important to consider. If your main issue is the eyelid skin, not the brow you can address the skin with limited results. If the skin touching or draping over your lashes is primarily from the eyelid itself and not from a droopy brow pushing skin downward, then blepharoplasty can cleanly remove the excess and restore a more “open” eye appearance.
Brow lifts are typically added when a patient feels their brows are heavy, sagging, or causing a tired or angry look. If you’re happy with the shape and position of your brows, you can avoid this more invasive (and costly) procedure.
Upper eyelid surgery is usually done in-office or in a surgical suite under local anesthesia or light sedation. Recovery is fast — typically 1 to 2 weeks of visible healing and minimal pain.
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Based on the current appearance of your eyes, eyebrows, and forehead, I’d like to explain a few options.
Your eyebrows are positioned quite low, which creates a narrow space between the brows and the eyes. Additionally, the upper eyelids appear noticeably droopy and heavy, covering a significant portion of the eyes.
The best treatment approach depends on what bothers you the most.
In many cases, lifting the brows(also known as forehead lifting) helps create more space between the eyes and the eyebrows while also tightening the upper eyelid skin.In your case, since there is significant drooping of the upper eyelids, it is likely that you will need not only a brow lift but also eyelid surgery.
Since the eyes look tired or sleepy, combining upper blepharoplasty with ptosis correction can help balance the eyelids and improve eye-opening, making your eyes appear more open, bright, and refreshed.
Alternatively, if you're not particularly concerned about the shape of your eyes or eye-opening function, a sub-brow lift may be considered. This procedure involves an incision just below the eyebrows and is especially effective in removing excess sagging skin on the outer parts of the upper eyelid.
These surgical procedures can be considered.