Would an upper blepharoplasty be beneficial for me? (Photo)

Question

I’ve always been really self conscious of looking angry/tired. I have heavy, hooded brows and find I’m always raising my eyebrows for photos. I have looked into a brow lift, but I’d prefer to go down the route of upper bleph surgery, if it would open my eyes a little more. I’d really like to see my eye makeup after I’ve applied it!

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.

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

Gary M. Horndeski, MD · Answer

Yes, an upper blepharoplasty would be beneficial but a browlift would be much better.  I recommend a browlift instead.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

I believe that full upper eyelids are youthful appearing, and you do appear young. Since your eyebrows are a bit low, that could be giving an angry appearance. The best way to treat this in our experience is with botox or another similar neuromodulator. Hope this helps! Sincerely, Dr Joseph

Camille Cash, MD · Answer

Based on your photos you appear to be a candidate for an upper blepharoplasty but it will not give you as much improvement as a brow lift would.  If you are against the browlift you may want to consider the upper bleph along with Botox to give a conservative brow lift.  I've included a video that I hope you find helpful.

Kenneth R. Francis, MD, FACS · Answer

Dear Flower,
You have very heavy and low set brows.  We don't know your age and whether or not you have recently had any intervention such as Botox that might be exacerbating that, or if this is your natural brow position.  It does not appear that you have excess upper lid skin amenable to a blepharoplasty.  Good luck!

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