What is More Invasive..a Browlift or Upper Blephroplasty?

Which is more invasive...a browlift or upp blephroplasty? Thanks!

Doctor Answers 26

Blepharoplasty vs. Browlift

Both blepharoplasty and browlifts can be relatively non- invasive, depending on the technique utilized and the patient’s perspective.  However, in general upper blepharoplasty is less invasive, although there are some lateral blepharoplasty techniques that can be performed in less than 30 minutes under local anesthesia that can create significant aesthetic results.

Miami Facial Plastic Surgeon
4.7 out of 5 stars 128 reviews

Browlift, Blepharoplasty or Both?

As a Cosmetic Oculofacial plastic and reconstructive surgeon in New York, eyelift surgery and browlift surgery is my speciality. As I consult with my clients, one must determine if a browlift or upper blepharoplasty is needed. Depending on the results that one is looking to get from cosmetic surgery of the eyes or face, sometimes a combination of a browlift surgery and upper eyelift surgery (or blepharoplasty) may be needed. One must be cautious when getting a browlifting surgery (or performing the surgery) that the brows aren't overdone because it could result in a "perpetually surprised" look or expression if the brows become too arched. If a browlift and eyelift are performed in combination: after the browlift, it can then be determined how much excess skin is to be removed from the lids. Both a browlift and blepharoplasty are invasive surgical procedures, however they are invasive for different cosmetic goals.

Amiya Prasad, MD
New York Oculoplastic Surgeon
4.3 out of 5 stars 70 reviews

Brow lift is more invasive than upper blepharoplasty

A brow lift is much more invasive than upper blepharoplasty; it requires more time, a longer incision, and a more extensive dissection.  A brow lift takes approximately 1.5 to 2 hours while an upper blepharoplasty takes approximately 30 minutes.  The upper blepharoplasty involves a 1-inch long incision on each upper eyelid.  Pain and discomfort is less with an upper blepharoplasty than a brow lift.  The recovery time is shorter as well.  It is important to have the appropriate procedure done based on the results you want rather than based solely on the recovery time.  If the patient has low eyebrows, a brow lift certainly needs to be performed.  If the patient has hooded eyelids and the skin is touching the eyelashes then it is probably best to perform an upper blepharoplasty.  Both the procedures are done under general anesthesia as an outpatient procedure in an ambulatory surgery setting. 


William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Brow lift is more invasive than upper blepharoplasty

There are a number of different types of brow lift procedures.  Most of the brow lift procedures would likely be categorized as more invasive than a standard upper blepharoplasty.  Upper blepharoplasty is a simple procedure whereby skin and a small component of muscle is trimmed from the upper eyelid, sometimes with a small degree of fat removal.  Essentially this is a simple procedure.  A brow lift can be a little bit more complex.  Coronal lifts and endoscopic brow lifts have moderate dissection components to them.  More limited brow lift techniques such as transblepharoplasty, direct brow lift or lateral temporal brow lift have a bit less dissection/invasive requirements than the old-time traditional brow lift techniques.  It is important to discuss the brow lift technique specifically with your surgeon.  

David Q. Santos, MD
Bellevue Facial Plastic Surgeon
4.3 out of 5 stars 23 reviews

Browlift is more invasive than Upper Blepharoplasty

Upper Blepharoplasty is a very superficial operation. Skin and muscle is removed and a small amount of fat beneath the skin is also often removed.

A Brow Lift involves surgical modification of deeper-larger structures and several nerves are exposed to possible injury. Typically bruising is more severe after a Brow Lift than after an Upper Blepharoplasty.

Which is more "invasive" Browlift or Upper Blepharoplasty?

Generally speaking, a browlift  is more involved than an upper blepharoplasty.   Bruising and swelling are slightly more pronounced but with current endoscopic techniques, my patients have mild bruising and swelling that is usually gone by seven days.   The decision to have one or the other or both really depends on your anatomy and the cause of your complaints.   This  can only be determined after a physical exam with your surgeon. 

James C. Marotta, MD
Long Island Facial Plastic Surgeon
4.8 out of 5 stars 71 reviews

Browlift and blepharoplasty

A browlift is much more involved than an upper blepharoplasty.  Depending on the extent of browlifting, the forehead and brow skin is elevated and resuspended upward.  This usually involves elevation over the entire forehead.  Meanwhile, blepharoplasty involves simply the excision of excess skin, muscle, and/or fat of the upper lid, and involves a much small incision and area of dissection limited only to the upper eyelid area.  Many times a browlift must be performed together with a blepharoplasty in order to maintain the longevity of the blepharoplasty, especially if the brow is at a substandard position due to the effects of aging.   Both procedures however still require 7-10 days of recovery before being seen in public, because bruising can occur from both procedures, and it takes 7-10 days for most if not all bruising to resolve.  Hope that helps!   

Thomas T. Le, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Browlift is more invasive than upper blepharoplasty...

The headline  is the "short" answer to your question!

I think though you are interested to know which procedure is more invasive for YOU and which one will address your complains.

Brow lift, upper blepharoplasty may address the same or different problems with "droopy upper eyelids" you maybe bothered with when you look in the mirror.

Therefore I would recommend you to go to a Plastic Surgeon and explain and show him what you are unhappy with. A detailed exanination will show what procedure will more likely address your concerns(invasive or less invasive). Not infrequently both procedures are necessary to solve the problem.

Good luck !


Guido P. Gutter, MD
Evansville Plastic Surgeon
4.9 out of 5 stars 18 reviews

Brow Lift is more invasive than an upper eyelid surgery.

 Brow Lift is more invasive, larger incision, more tissue dissection than an upper eyelid surgery.  These two procedures both decrease fullness of the upper eyelids but in very different ways by very different methods.  Before you have your upper eyes evaluated by an experienced plastic and cosmetic surgeon, you really dont know which procedure is right for you.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Invasiveness of Brow Lift Versus Blepharoplasty

Even though there are various methods to doing a browlift, when compared to an upper blepharoplasty, a browlift is more invasive. In a browlift, regardless of technique, the tissues of the brow are lifted off of the bone and placed in a more anatomically suitable position. In my practice, general anesthesia is required for a browlift. In an upper blepharoplasty, a certain amount of skin and occasionally fat is excised.  This can be performed under local anesthesia in the office. You should not choose between these procedures based on invasiveness. After consulting with your plastic surgeon, arrive at your decision based on which procedure is necessary to give you the appropriate results. Undergoing a blepharoplasty when you really needed a browlift is only going to leave you unhappy and frustrated with your results, in short time. Hope this helps. Good luck with your decision!


Sarmela Sunder, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.