Drooping upper eye (36 yo male). Would a blepharoplasty, brow lift or Botox be best for me?

You could benefit from a blepharoplasty and/or brow lift. Unfortunately Botox would not get you the desired effect. A blepharoplasty would remove the excess skin from your upper eyelid, opening up your eyes and removing the droop. A brow lift would raise your brows, which in turn would lift the skin from your eyelids as well. However, depending on how much you want to lift the brow, it may not remove as much of the droop as you would like. You would see significant improvement with just the blepharoplasty if you did not want to change your brows. Both can be done together if that is something you are interested in.

You are a great candidate for upper lid blepharoplasty to remove excess skin. You may also be a candidate for brow lifting depending on your goals. A thoughtful blepharoplasty will not change the shape of your eyes and should look more youthful and natural.

You would benefit from a upper blepharoplasty. A browlift may be indicated but you would have to be examined in person.

Best Wishes,

Gary Horndeski, M.D.

You have a condition called Blefaroptosis which means the upper eyelid elevator muscle is weak and needs to tighten it. Also you have a bit of excess of skin on the upper eyelid. Plus dropped eyebrows.
So you will need the combination of the Eyebrow lift, ptosis correction and just a bit of skin resection.
Must consult with a Facial Surgeon with full experience on all above procedures.
Be encouraged!!
Dr. Cardenas

Is very likely, based on these photos, that you have bilateral eyelid ptosis, a droopy eyelid. There may also be an element of brow ptosis. In person consultation with a board certified plastic or oculoplastic surgeon would help. Good luck.

It kind of depends on what you’re trying to achieve and which look you prefer. Often a brow lift has a lot of benefits, but some people may be apprehensive to have that procedure. In order to assess you for a brow lift we definitely have to see your brow and your hairline. There are different ways of doing a brow lift, and sometimes on men doing a hairline incision brow lift can I help Reduce the size of the forehead, which is good for men with a receding hair, but bad for men with short foreheads. Any other form of brow lift will raise your hairline, giving you a slightly bigger forehead. This is true for endoscopic and bicoronal approaches. Sometimes a conservative blepharoplasty with a moderate brow lift can give it the very best outcome. Overly aggressive brow lift should be avoided in men because it doesn’t look natural and is feminizing.
Botox isn’t going to lift your brow enough to make your eyelids not look so heavy
The approach to male surgery is quite different than for female patients. I suggest having multiple in person consultations with plastic surgeons in your community. Just seem to have a lot of Mela facial aesthetic experience.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of previous men who had similar facial characteristics. An experienced plastic surgeon should have no difficulty showing you with the before and after pictures of at least 50 previous patients, considering that most patients for these procedures are women surgeons may have a lower percentage of the male examples. Still, you definitely are looking for someone who has enough male aesthetic surgery experience to not end up looking like Sylvester Stallone or right after his surgery.
My best suggestion is to start the process by consulting with about five plastic surgeons in your community. Just seem to have a lot of facial aesthetic experience preferably with a strong emphasis in male aesthetic surgery.
Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve done. Simply doing it a blepharoplasty if it’s over, handed creates an unnatural, hollow appearance that’s not consistent with your genetic heritage.
I cannot emphasize enough the importance of the provider selection. In the end, finding the right provider is probably more important than which procedure you choose.
Best,
Mats Hagstrom, MD