Do I need a brow lift or eyelid surgery? Was told I have a heavy brow.

Question

I have always had lots of extra skin even when I was young. It’s always bothered me so I went recently to a doctor to see if I could be covered by eye insurance for a blepharoplasty, but he told me I have a heavy brow and removing any of my upper lid would make it look worse. Is this true? He also suggested I get a brow lift about 10 years from now, I’m currently only 23.

Zoran Potparic, MD · Answer

Based on these photos, I do not see reason for any of above surgeries; unless you want to lower your high hairline? Foulness of lateral portion of upper eyelids is sign of youth. Shaping of brows by a make up artist and appropriate make up would be my suggestion. Good luck.

Kenneth D. Steinsapir, MD · Answer

Don't make medical decisions without the benefit of a detailed in person consultation that includes an actual detailed assessment by the consulting surgeon. Unfortunately, many surgeons now seem to bypass the detailed assessment. That leads to cookie cutter surgery. It is immediately obvious that you have wonderful youthful beauty. In considering what to do, it is essential to understand that surgery can be harmful. Yes, surgery can rob you of your youthful beauty.  A trichophytic forehead lift is an excellent example of these risks. Surgeons who offer them often overestimate there ability to hide a scar in plain sight along the hair line. Unfortunately these procedures always create visible compression of the hair along the healed incision line that never really looks right in my opinion. Your photos are not optimal to understand your needs. Even the straight ahead eyestrip photograph is taken from an elevated position. It appears that you have mild upper eyelid ptosis. I believe that induces a mild compensatory brow elevation. Correction of the ptosis with surgery is done  with an anchor blepharoplasty but you do not really have abundant upper eyelid folds. You need structure in the upper eyelid rather than removal of the upper eyelid fold which will skeletonize the eyes. Your eyes can be your best feature but you need to find the right surgeon.

Toby Mayer, MD · Answer

Blepharoplasty or Browlift? You would benefit from a Browlift to 
Raise your total Brow
Lower your Hairline 
Orbital bone contouring 
All these will feminize your face and open your total brow and give you a more attractive face! This is done with the Irregular Trichophytic Forehead Lift that I invented and you will not have a noticeable scar.

Mehryar (Ray) Taban, MD, FACS · Answer

I don't believe you need brow/forehead lift but conservative upper blepharoplasty may be a consideration.

Jeffrey Joseph, MD, FACS · Answer

Thanks for the question and photos.  After reviewing your photos, I think your brow and lids are nice and full.  At your age , I would recommend no surgery be done.

Do I need a brow lift or eyelid surgery? Was told I have a heavy brow.

Answers (7)

Answer: Possible upper blepharoplasty in young person

Answer: Possible upper blepharoplasty in young person

Answer: Browlift

Answer: Browlift

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Everything you need to know about Eyelid Surgery

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Do I need a brow lift or eyelid surgery? Was told I have a heavy brow.

Answers (7)

Answer: Possible upper blepharoplasty in young person

Answer: Possible upper blepharoplasty in young person

Answer: Browlift

Answer: Browlift

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.