I have a sloping forehead, low brows, excess eyelid skin. Would a forehead Reduction, Brow Lift, or Blepharoplasty help? (photo)

Thanks for your question. Forehead reduction can do the following;-reduce the excess skin of the forehead-elevate the eyebrows-improve the appearance of the upper eyelid skin-create a more attractive proportions of the faceBest wishes,Dr Sajjadian

First, you need to meet with a doctor so you can explain your goals and expectations. Afterwards, you'll have a better idea as to what each procedure entails. Sometimes your goals may be unachievable and you may be turned down by your doctor.

In order to lower the hairline and support the brows, I will perform a combination procedure where we lift the brows slightly and also bring the hairline down. This is performed through the same incision and is customized for each individual patient depending on how far we need to move the hairline, how much we want to raise or support the brows, etc. Lowering the hairline helps with improving the contour of the forehead and makes the forehead appear less rounded. Changing the arch of the brow may be difficult, but would be something to address with your surgeon.Be sure to see an expert who specializes in hairline lowering and facial plastic surgery procedures. All the best,

Hi there.  Can you send a frontal view (straight ahead) - w/o looking down.  You are young and I understand your issues but to do the right thing better photos are needed or see a qualified specialist.  From the photo I am not sure you need lid surgery.  As you stated it will not address your main concerns  BestDr. Massry

Hello Edahl874-You do appear young and have beautiful contours of your upper face. It may just be the wide-angle photograph, but if your hairline is high, you can consider wearing it proudly:), changing your hairstyle and/or consider a hairline advancement of your anterior hairline. Your eyebrows appear to be in perfect position and the shape can be altered with eyebrow shaping and even botox. Your eyelid have a little extra skin which can be technically removed, but at you might wait until a bit older. I hope this helps. 

There are indeed brow lifts that would lower your brow, and some versions of them are minimally detectable to non detectable.However brow lifts elevate the brows; how much higher do you want your brows to be?  They already look quite high.Many patients simply wear a different hair style that suits their hairline.  Hair transplantation is another alternative that is relatively easy to do.Definitely consult with some reputable surgeons in your area and get their thoughts.

Large forehead and low brows are best treated with an Irregular Trichophytic Forehead lift. What others have said is not true about the hairline incision. We have our patients meet with patients who have had this done to see actual results. You may need a tissue expander to lower your hairline if your scalp is tight. Uauu

It also is not ideal for assessing your concerns.At your age, I suspect that your best option will be performing upper eyelid surgery.  However, there is not substitute for an actual personal consultation to get to the bottom of what is actually needed.One concern I have for you with a forehead lift is that you do have a long forehead lift.  This means that some forehead surgeons would try to talk you into a pretrichal forehead lift which is an open forehead lift where the incision is made along the hairline.  This is sold as a way to shorten the forehead and lower the hairline.  The truth is that it does accomplish this but at a price.  The price is that a scar is placed at the hairline.  The incision is beveled to allow hair to grow through the incision.  You will be told that this makes the scar disappear.  That is not accurate.  Even perfectly done, the hair will look compressed and abnormal.  You will be bummed out about this change.Less is more.  I would be careful what you look for and I would encourage you to get more opinions before deciding how to proceed.

I agree with you that the single thing that could improve your appearance would be a forehead skin reduction, performed by advancing the hair-bearing scalp downward towards the brows, with excision of the non hair bearing scalp. Scalp laxity will determine the amount of correction possible.  Best of Luck   Dr Harrell

The picture I reviewed has you looking down so it would be premature to say whether you need eyelid surgery or even a browlift but you would benefit from forehead reduction either with microfollicular hair transplant or incision at the front of your hairline with skin reduction which would also allow for a browlift if you need one.  I would be careful of an incision line at your front hairline as your hair density seems to be thinning and the scar could become more prominent if you lose more hair.  I suggest you see a board certified facial plastic surgeon to evaluate you fully. Hope this helps.