Would I benefit more from a blepharoplasty or eyebrow lift? (Photo)

Question

I find when my face is in a relaxed state the eyelids and eyebrows are unsymmetrical. On one side the eyelid and the eyebrow hangs lower. Would I benefit more from removing eyelid tissue (blepharoplasty) or an eyebrow lift? If latter, would I only lift one eyebrow?

Kenneth D. Steinsapir, MD · Answer

You have bilateral upper eyelid ptosis (heavy upper eyelids). The upper eyelid ptosis is worse on the left side and you have compensatory eyebrow elevation. You need the upper eyelid ptosis repaired. At that time, you might benefit from a small removal upper eyelid fold skin (a blepharoplasty). The key is you need to see someone who actually understands upper eyelid ptosis. Sadly, many surgeons really don't understand ptosis, how to assess it, and how to treat it. This means you are at high risk of having a forehead lift or blepharoplasty without having the upper eyelid ptosis repair. Your eyelids can be harmed in the process. Get the right care.

Allen Rezai, MD · Answer

Thank you for your question and providing photos. 
It's important to note that asymmetrical eyebrows and eyelids are quite common and often a natural occurrence in many individuals. The underlying cause can be attributed to various factors, including genetics, muscle imbalance, or even habits such as sleeping on one side more often.
To determine the most suitable approach for addressing your specific concern, it would be best to consult with a qualified plastic surgeon he/she will assess your condition and provide you with personalised recommendations based on your facial anatomy, skin elasticity, and overall goals.
In some cases, blepharoplasty (eyelid surgery) might be recommended if excess eyelid skin is the main cause of asymmetry. On the other hand, an eyebrow lift may be suggested if a drooping brow is the primary concern. 
I believe in your case a brow lift should be the option. If following a clinical examination an eyebrow lift is recommended, it doesn't necessarily mean that only one eyebrow will be lifted. It will depend on the degree of asymmetry and the desired outcome. The plastic surgeon will evaluate your facial features and determine the appropriate approach to achieve a more symmetrical appearance.
In cases where the eyebrow asymmetry is minimal and surgery is not indicated, muscle relaxing injectables such as Botox or Dysport may be recommended to level the eyebrows, however this won’t be permanent, and treatment would need to be repeated to maintain the result. 
Wish you all the best. Allen Rezai M.D.

Yannis Alexandrides, MD, FACS · Answer

From looking at your pictures, I would say a A Brow Lift would be the right procedure to improve the asymmetry as it looks as if the concerns you are experiencing are caused by a descent of one side of the brow.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you have extra saggy skin above one of your eye. For improve the symmetry I recommend you upper eyelid surgery. Please keep in mind that %100 symmetry is not achievable in any case. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. You have ptosis of both eyelids (drooping) and extra skin on the right upper lid. First correct the ptosis and then the extra skin. See an experienced oculoplastic surgeon for comprehensive evaluation and discussion of treatment options. 
Good luck,

Nick Koutroumanos, MBBS · Answer

I would certainly avoid a brow lift. A bleph on one side will take you closer to symmetry but possibly not exactly there. Hope this helps. Nick Koutroumanos

Soon-Dong Kim, MD · Answer

It seems that you have asymmetry eyes because of your asymmetry bone structure. As you can see from your photos, the height of eyebrows and eyes are different. What we can fix the the asymmetry eyebrows, only FOREHEAD LIFT (ENDOTINE) can fix it. Also you need full incisional double eyelid + ptosis correction to correct your minor ptosis and make your eyes bigger and fresh. If you have further questions then please leave a message:) Thank you

Would I benefit more from a blepharoplasty or eyebrow lift? (Photo)

Answers (8)

More Eyelid Surgery Questions

Which procedure can help minimize the appearance of festoons and malar bags? (photo)

Superior sunken sulcus at only 28 years old - is upper eyelid filler my only treatment option? (photos)

Can asymmetrical eyelids be corrected 1 month after repositioning? (photos)

Am I a good candidate for epicanthoplasty or should I consider other options? (photos)

Are there nonsurgical options that can serve as an alternative to lower blepharoplasty? Interest in correcting hollow under eyes

Is a blepharoplasty the right procedure to help correct excess skin in the corners of the eyes? (photos)

WE SEND PRETTY
EMAILS