Outer browlift, upper blepharoplasty or Botox, which treatment would you suggest?

That means that standard blepharoplasty is not the right surgery for you. Blepharoplasty is removal of skin, muscle and fat. You have a central disinsertion of the levator aponeurosis tendon. This is manifested in a high upper eyelid crease and a compensatory eyebrow elevation. It is as though you do your own forehead lift. Carrying the brow where you do is not something you think about. By fixing the upper eyelid ptosis, this will allow the eyebrow to relax. That will allow you to look more youthful. It is possible to lower the upper eyelid crease, which would be beneficial for you. A detailed personal consultation is helpful. I recommend being skeptical of consultation that do not actually involve an examination. That includes Skype consultations. Your eyes can be your best feature. 

Based on this photo, your brow height looks fine.  YOu do have some redundant skin, a high crease, and some ptosis. You should see an oculoplastic surgeon who can evaluate the eyelid muscles to determine what surgery would be best for you. 

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Based on your photograph, you may benefit from an upper eyelid blepharoplasty rather than a brow lift.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

We can't really give you great info about the procedures you asked about but it does appear you've got ptosis from the photo of the one eye.  Have a consultation with an experience eyelid surgeon and/or ophthalmologist who WOULDN'T be performing your surgery so they are unbiased and then go from there.Best of luck!Chase Lay MD

Based on the one photo, I would agree your brow height looks fine and your upper lid ptosis is minimal so I think you would do well with a standard upper blepharoplasty

A browlift, a blepharoplasty (upper) and/or Botox are not mutually exclusive procedures and in certain cases they can be done in conjunction.There is no one best option. It depends on your desired outcome and understanding of the pros and cons of the various procedures.



It is important to realize that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on a limited photo without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California

 Much more information is needed, such as a full set of facial photographs. Brow lift is not necessary due to the high position in the limited photograph. Upper blepharoplasty addresses  removal of extra  eyelid skin. Botox can address scowling muscles of the forehead and crows feet

It is hard to determine your exact needs with the one limited photograph. It would be best to review your situation by looking at your entire face both from a frontal view and a 3/4 view for further expert opinion.  Generally speaking if your brow is not dropped and is in a good position then blepharoplasty would be an option. If your brow has any droop then yes a blepharoplasty alone can pull the brow down making the patient look tired and in those cases a browlift is suggested. An in depth consultation will help determine the best course of action. Best regards, Michael V. Elam, M.D.