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Refuse hairline lift (atrocity, terrible scars, failure), coronal lift (outdated, numbness, baldness, failure), endoscopic (failure), threads (you must be kidding me), screws-hooks (are you serious?)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

Based on your photo, you are a great candidate for surgery. If you feel that your brow hasn't dropped much over time, then you can do the upper eyelid along with a great result. It looks as though your brow is not below your brow bone. If you feel it has drooped some, then get both procedures done. Be sure to see a facial specialist for consultation.

Thank you for taking the time to upload pictures for a better understanding of your needs.Blepharoplasty is the best option. Quick and easy! We would love to provide you with an online consultation and assist you with any questions you might have!

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

From the photos, it appears that the excess on your upper eyelids is caused by extra skin rather than a fat pad. Removing just this skin is a relatively short procedure, taking approximately 40–45 minutes. It can also be performed under local anesthesia, and the sutures are removed after 5 days. The suture removal itself is not painful.This method is quick, reliable, simple, and cost-effective. In some cases, like yours, after removing the excess skin, I also perform a temporal lift. This slightly adjusts the position of the brow and creates a more harmonious appearance around the eyes. If this is done, the surgery duration increases by about 15–20 minutes per eye. There will also be a small incision above the brow, but it usually does not create a noticeable scar due to its location. Occasionally, some redness from the upper eyelid suture may last 2–3 weeks for some patients, and 4–6 weeks for others. Simple makeup can usually conceal this.Both options—under local or general anesthesia—are possible. Patients I have treated under local anesthesia generally report that the procedure is not painful once the area is numbed. Under general anesthesia, pain is not an issue.A third option is an endoscopic temporal lift, which is performed under general anesthesia.This can also be combined with blepharoplasty.It is a somewhat longer operation and, in terms of cost-effectiveness, it is the more expensive option.

This is a common questions we hear in consultation. You have 2 contributors to your upper lid heaviness: a low brow and mild upper lid skin excess. ideally, I would recommend an upper eye lid bleph and a lateral brow lift. Since you have 2 problems, correcting only one of them would give you a partial result. If you did only the upper eyelid surgery, you would still have hooding laterally (on the outside of the eyelid). Do you have to do both surgeries? No, we have several patients who choose only one procedure but you have to understand you get rid of some of the heaviness but not all of it.

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!