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

Go to the mirror, keep your head straight and aligned with your spine, look to the glass perpendicularly, neutral view. Then using 2 fingers press above each extreme of one of the eyebrows, then slightly pull up the inner end and pull a little more from the outer end.

Magic, the skin excess of the upper eyelids is gone and you look refreshed and younger. If any tiny amount of skin is still in excess after testing this maneuver, it can be also removed, however I bet to rate 80-100% of your hoodedness is due to a ptotic (droopy) forehead.

Refuse hairline lift (atrocity, terrible scars, failure), coronal lift (outdated, numbness, baldness, failure), endoscopic (failure), threads (you must be kidding me), screws-hooks (are you serious?) or the mid-XXth century "direct brow lift".

The golden standard is Dr. De la Plaza's (or similar) procedure with short insicions at the temple and supraperiostical dissection, to access the forehead-brows, the corner of the eyes, the upper cheek and mid face.

Awesome results and very natural. Highly recommended, explore that way.

You have hooding of your upper eyelids laterally which will not be adequately corrected with upper blepharoplasty alone. In these cases I combine upper blepharoplasty with a lateral browlift which I routinely perform under local anesthesia with light oral sedation as an office procedure with long lasting natural results that do not change eyelid shape or raise the brow unnaturally. Doing a browlift alone will not correct the eyelid excess without elevating the brow to an unnaturally high psotiont

Hello @Diligent564279, thank you for your question. Usually, a brow lift is utilized to lift the lateral section of the brow and relieve drooping brought on by aging. On the other hand, an upper blepharoplasty involves the removal of extra skin and occasionally fat from the upper eyelids to enhance the appearance of the eyes. Usually, the incision made during this treatment is hidden by the upper lid crease. The ideal option truly depends on your unique concerns and intended results because both operations have different goals and outcomes. Given that your main worry is the extra skin on your upper eyelids, an upper blepharoplasty may be more in line with your aims based on what you've provided. But in order to design a surgical plan that meets your expectations, it's crucial to have a thorough consultation with your surgeon. Costs can vary and are influenced by several factors, including the complexity of the issue, the surgeon's experience, and the technology used. Remember that while cost is an important consideration, it should not be the primary factor in your decision-making process. Safety and quality should always be prioritized. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery Member (SCCP).

Dr. Özge Ergun,
Based on genetic factors, there is an excess of skin on the upper eyelids for the patient's age. I believe the position of the eyebrows is good, and a favorable result can be achieved with an upper eyelid lift (blepharoplasty) alone. The total recovery and social reintegration period is approximately 5-7 days.

You do have hooding in your upper eyelid and an upper blepharoplasty would be a good option for you.

Hi, greetings from Istanbul. I would recommend a blepharoplasty and a temporal lift for maximum patient satisfaction. These two procedures are commonly performed together for long-lasting and natural results. Hope this helps.

Hi there, hope all is well. Based on the photos alone, here are a few observations:
Asymmetric eyebrow position (left lower than the right)
Brow ptosis (overall low eyebrow position)
Excess upper eyelid skin — possibly more on the right than the left
Eyelid ptosis, particularly on the left, is a possibility and should be ruled out
My recommendations would include an in-person evaluation by both an Ophthalmologist and a Plastic Surgeon for a thorough physical exam. Based on those findings, a comprehensive surgical plan can be developed. I personally would not recommend upper eyelid surgery without first addressing brow positions.
Hope this helps. Have a wonderful holiday season!

The tissue that hangs over your upper eyelash line could be removed with an upper eyelid lift. If that is the only issue bothering you, then a brow lift would not be necessary.

Hello, You do have some asymmetries with the right eye and eyebrow higher than the left. But if you like your brow position then keep it! You can have very nice Improvement by just removing the extra skin of the upper lids. Good luck.

Upper eyelid surgery is not only the solution to your problems related to them, but also an economical solution that can be performed in a simple office visit under local anesthesia.

You definitely have eyelid hooding and brow asymmetry, so both options would be good. However, there will be a definitive improvement with eyelid surgery alone. I suggest the Foxtail eyelid lift that I perform in my office for lateral hooding.

Best,
Dr. Karamanoukian
Realself100 Surgeon