Surgical brow lift vs. blepharoplasty in late 20s? (Photo)

Question

- 28 yr F, nil medical or surgical hx of note. -genetic naturally low set brow at rest with hooding of the eye bilaterally, R L. - previously trialled less invasive measures: botox lift in past however minimal benefit with above. - main queries are: 1) am i a candidate for surgical brow lift vs blepharoplasty in my case. 2) endoscopic brow lift vs temporal browlift. Goals of surgery: achieve a natural/ less angry appearance at rest with minimal scarring/no dramatic foxy eyelift look.

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 this, depending on your exact situation.

For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for posting your photos and questions! Based on your description and the photos that you provided, you would be a candidate for an endoscopic brow lift. I do not see a role for upper blepharoplasty in your situation. I perform temporal brow lifts as well, but I think elevation of the central brow is likely necessary to achieve your goals.
Best,Dr. Tower

Randal Haworth, MD, FACS · Answer

Based on your photos, it looks like you would benefit from an endoscopic brow lift.

Best of luck !

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment using only pictures we need much better quality pictures. Looking plastic surgeons, and how they take before and after pictures. To assess someone for a brow lift we need to see their entire forehead including their hairline. Full face pictures are ideal. We don’t take pictures with facial expressions. Both procedures can be excellent and sometimes doing a brow lift and blepharoplasty together being a little more conservative on both procedures, gives the very best outcome. I suggest having multiple in person consultations with local plastic surgeons in your community.
This type of assessment is much better done through an in person, discussion with the surgeon can lift your brow and do their job adequately. 
Personally, I think brow lift are generally better procedures than an upper blepharoplasty. Different providers will have different opinions. In the end, finding the right provider is probably the most important variable.
Best,
Mats Hagstrom, MD

Surgical brow lift vs. blepharoplasty in late 20s? (Photo)

Answers (4)

Answer: Assessment for brow lift versus blepharoplasty

Answer: Assessment for brow lift versus blepharoplasty

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Everything you need to know about Brow Lift

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Surgical brow lift vs. blepharoplasty in late 20s? (Photo)

Answers (4)

Answer: Assessment for brow lift versus blepharoplasty

Answer: Assessment for brow lift versus blepharoplasty

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.