Internal Brow Lift with Upper Eyelid Surgery?

  In my opinion, and as someone who does an awful lot of these procedures, it won’t make a lot of difference either way.  An internal brow procedure doesn’t really lift the brow so much as it prevents slight descent resulting from upper eyelid surgery.   It is not really the same as an aesthetic forehead or brow lift procedure. If it increases your anxiety about having the procedure, I would counsel you to pass on it.  You will likely be well satisfied with the results of your eyelid surgery alone.

Sometimes the brow droops such that it crowds down on the upper eyelids, making you feel as though you have excess skin in that area. However, sometimes instead of reducing the amount of skin covering the eye, the most natural way to fix the problem is to raise the brow.

If you feel like you have too much skin in the upper eyelids, raise your brow to a level just above the bony ridge over the eye. If there is still excess skin, it would be great to have just upper eyelid surgery. If the excess skin is mostly gone, think seriously about repositioning the brow to its more youthful position.

Generally speaking, and upper eyelid Blepharoplasty (in isolation) will decrease the distance between the upper eyelid crease and the eyebrow, thereby lowering the brow somewhat.  This is an acceptable trade off is some patients and not in others; only a thorough examination can determine this.  A well performed brow lift should make you look better, more relaxed, but not "strange".  Personally, I am not a big fan of the trans-Blepharoplasty brow lift; an Endoscopic or Trichophytic approach offer a more complete result.