Is there any disadvantage to having the eyelid surgery before the browlift?

Question

Im a male, My doctors recommend that I have eyelid surgery, and some of them also suggest I may need a brow lift. However, I'm uncertain about the necessity of the brow lift. It's important to note that lifting the brows by 2 mm can reduce the sagging skin on the eyelids, meaning the surgeon would need to remove less skin. If I start with eyelid surgery alone, the surgeon might have to remove more skin. and after this, if i go for brow lift, is thing going to cause a problem?

Mustafa Aydinol, MD · Answer

If your main concern is droopy eyelids, then it would be a better option to go with an upper blepharoplasty surgery. If you also would like to have a slightly higher eyebrows or if your eyebrows are droopy, then you can consider that as well. I believe if you decide your main problem, that will solve the issue. If you are not sure even after this, go step by step. You can always have additional surgeries. It won't affect the eyelid negatively.

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct excess upper eyelid skin, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present. Usually Browlifts are performed first, as sometimes the upper blepharoplasty is no longer needed once the drooping brow is corrected!

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Eric M. Joseph, MD · Answer

The reason for that is since your eyebrows will be lifted, you would require less skin to be removed from your upper eyelids. If you have no desire to undergo an eyebrow lift, then simply proceed with your blepharoplasty. I hope this helps. Sincerely, Dr Joseph

Gary M. Horndeski, MD · Answer

I always recommend doing the browlift first because it can create a significant amount of change.  If you do the blepharoplasty first and then the browlift then the pulling of the browlift can make the excision of skin from the eyelids excessive.

Best Wishes,

Gary Horndeski, M.D.

Mats Hagstrom, MD (license on probation) · Answer

You are correct in that if you have a brow lift the amount of skin that needs to be removed from your upper eyelids is less.
I personally was born with a genetic makeup that gave me low brows and hooded eyelids.
My background is Scandinavian.
I opted to have a brow lift and not treat my eyelids.
I am very happy with my decision and May at some point in the future have my eyelids treated.
I had my brow lift when I was in my 40s and I’m currently 61 years old.Without pictures, you can’t make an assessment.
Provider selection is probably even more important than choosing procedures.
Doing male facial aesthetic surgery well is different than the female approach.
It’s important to not apply procedures that feminize the male face.
In regards to brow lift there are different approaches, and these can have desirable or undesirable impacts, depending on how they are applied in regards to hairline and forehead size.
For those who are born with hooded eyelids, it’s important to maintain some of that look in order to look normal and natural.Best,
Mats Hagstrom MD

Is there any disadvantage to having the eyelid surgery before the browlift?

Answers (5)

Answer: Browlift first

Answer: Browlift first

Answer: Brow lift versus upper eyelid blepharoplasty

Answer: Brow lift versus upper eyelid blepharoplasty

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Everything you need to know about Eyelid Surgery

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Is there any disadvantage to having the eyelid surgery before the browlift?

Answers (5)

Answer: Browlift first

Answer: Browlift first

Answer: Brow lift versus upper eyelid blepharoplasty

Answer: Brow lift versus upper eyelid blepharoplasty

Browse related questions

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.