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Conflicting advice on procedures - endo brow lift or temporal? (Photos)

D
danbr88Dec 31, 2025

45 yo female looking to get rid of “tired” look. Consulted with several of the top ocular plastics surgeons here in LA/BH. All had slightly different recos. Not sure what’s the right approach..…all agree on upper bleph but some suggest endo brow lift while others say just do temporal. All said I have mild to moderate ptosis but didn’t think surgery was worth it. I know growing the temporal route saves the need for general but then not sure why others saying definitely need endo brow lift Thoughts?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Gary M. Horndeski, MD
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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Jan 5, 2026
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Dr. Jeffrey H. Spiegel, MD
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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 384 Reviews
Answered on Jan 4, 2026
Answer
Dr. Michael P. Morrissette, DDS, FACS
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Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answered on Jan 2, 2026
Answer
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Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Yes, permanent eyebrow lowering is possible, though it’s less commonly requested than lifting. True brow descent can be achieved by selectively w...

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Andrew Miller, MD

Based on your photos, your brow position does not appear to be too bad (it's above the level of the bone). Maybe the upper eyelid skin can be reduced to sharpen the eyes. But also, it's not necessary to do a significant reduction of muscle in a browlift as long as the brow is fully released...

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