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Refuse hairline lift (atrocity, terrible scars, failure), coronal lift (outdated, numbness, baldness, failure), endoscopic (failure), threads (you must be kidding me), screws-hooks (are you serious?)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.

Great question, basically its a matter of your personal aesthetics vs what the surgeon can do. A browlift with upper blepharoplasty would look v pretty by lifting the lateral brows, however, the upper eyelid blepharoplasty would improve the appearance of the upper eyelids as you are requestion, and keep some of the lateral brow fullness that is already present. So its a personal preference based on your aesthetic goals and cost considerations.

Hello,
Thank you for sharing your photo and question. Based on the image, you appear to have significant upper eyelid skin redundancy (dermatochalasis), with some hooding that reaches or drapes over the lash line. If your primary concern is excess skin covering your eyes—rather than brow position—then upper blepharoplasty alone may be sufficient to achieve a more open, alert appearance. Many patients with similar anatomy benefit greatly from this procedure without needing a brow lift, especially when brow position is naturally low but not bothersome functionally or aesthetically. A surgical consult with a board-certified oculoplastic or facial plastic surgeon would help assess whether there’s also any degree of ptosis (true eyelid muscle droop), which may need to be addressed at the same time for optimal results.

Hello, if my patient has lower brows but they are not concerned about their position, I will certainly discuss doing only a brow lift. On the other hand, if they are considering a brow lift I always advise them to do this first (or in combination with eyelid lift). When the brow is lifted you'll notice there is less skin laxity on the upper lids. It is important to do the brow lift first, to ensure there is enough eyelid skin for normal eye closure. This is a general approach in my practice but you would need a proper assessment by a local plastic surgeon experienced in eyelid lift surgery to explain the pros, cons and risks in more detail. Thank you for your question!

Salut and bonjour DiligentA few things are going on--It appears that your left eye is droopier than your right eye.You have excess skin overhanging the upper eyelid creases.Your brows are slightly low--the left appears droopier than the right.Of course, this is only a photograph and seeing you in person would be much more informative. A droopy eyelid repair and a blepharoplasty would provide you with visual benefit. With this surgery, more of your iris would be visible, and your eyes would be more widely open. You would also benefit aesthetically from a brow lift which would enhance the result of ptosis/blepharoplasty--otherwise the result will be hidden by the drooping of the brow fat pads. Here is a link to a blog which might be helpful to you in making a decision. You might be disappointed if you don't have the brow lift in addition to the eyelid surgery. As for cost, in many areas droopy eyelid surgery, if it is causing visual issues, can be covered by insurance... .

This is a very common dilemma that many plastic surgeons and patients struggle with. Clearly, an upper eyelid blepharoplasty should be performed. The big question is should it be combined with a brow lift. If your brow position does not bother you, then just go with the blepharoplasty. A brow lift can always be done at a later date. In my experience, most patients choose just the upper blepharoplasty and are happy with the results.

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.

Hi, thank you for your question. Based on your photo, I think you would really benefit from both an upper blepharoplasty and a brow lift. Your brows are low and are contributing to the heat look of your upper lids and face. Both can easily be performed at the same time, and I perform these procedures under local anesthesia with sedation in our on site operating suite.

Based on your photo, it appears that you would be an excellent candidate for an upper eyelid blepharoplasty. This procedure alone can make a noticeable difference in rejuvenating the eye area and addressing the excess skin resting on the lashes.

While a brow lift can enhance results for some patients—particularly those with significant brow descent—it isn’t always necessary if the brow position doesn’t concern you and the primary issue is upper eyelid heaviness. In your case, an upper blepharoplasty alone may provide the improvement you're seeking. That said, if you're looking to maximize your results, a combination of both procedures could be beneficial.

I would highly recommend scheduling an in-person consultation with a double board-certified facial plastic surgeon. A personalized assessment of your anatomy will help determine the best approach to meet your aesthetic goals.

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.
Here is a list of pricing in our office: at plasticsurgeryjacksonville