Rhinoplasty revisions and brow lift together or separate? (Photo)

Question

I am need rhinoplasty revision and eye and brow lift. Do I look for surgeon that specialize in rhinoplasty or eye lifts ? Any suggestions? Also does just brow lift enough for me to lift upper lids or I need upper and lower lids done together? I am 45.

Alejandro Nogueira, MD · Answer

You don't need brow lift at all, your eyebrows are correctly located at the orbital rim edge, moreover if you do a brow lift you'll have a "surprise" expression, I'd disregard this option.You are good case for upper lid blepharoplasty, to remove spare skin, and transconjunctival lower lid fat bags removal.Revision rhinoplasty can be incompatible with lower eyelid surgery in case you need re-fracturing of the nose.You'll have much difficulty to find a good revision rhinoplasty surgeon than eyelid surgeons.

John Michael Thomassen, MD · Answer

You can undergo the procedure together safely.  From your photos it seems that instead of a brow lift an upper and lower lid blepharoplasty would be adequate.  The lower lids would benefit from judicious removal of some herniated periorbital fat.  Your pictures did not show the full nose but it appears you have some asymmetry.  A board certified plastic surgeon should be able to meet your needs.  Best wishes!

John J. Martin, Jr., MD · Answer

Your brow height looks good - even pretty high- in the pictures.  You have a little extra skin on the upper eyelids which could be removed.  Revision rhino is a tough procedure, and you want to make sure you find a facial plastic surgeon who specializes in cosmetic noses.  That surgeon should be able to take some skin off from the upper lids at the same time.

Michael I. Echavez, MD · Answer

It would definitely be possible to have a revision rhinoplasty and and brow lift with blepharoplasty done at the same time.  Most facial plastic surgeons or plastic surgeons would be able to perform all of those procedures.  There may be some surgeons who perform more revision rhinoplasties, so depending on what needs to be done to your nose, you may want to seek out a specialist.  In regards to which procedures would be best for you, the best advice you could get would be after having an examination in person.  It is possible that an upper eyelid procedure would be enough for you without the brow lift.  Again, an exam would be needed to give you a definitive answer.

Rian A. Maercks, MD · Answer

I would strongly recommend avoiding a brow lift.  You would be much better served by volumetric balancing with fat grafting with or without four-lid blepharoplasty and brow pexy.  your lateral brow could be pexied ( lateral hood lift) for long term support but a true brow lift would not yield an aesthetically sound outcome in you. Any of these options can be done at the same time your nose is revised.  I almost always perform facial balancing with fat when I perform rhinoplasty.  I strongly recommend finding a skilled surgeon that can help you achieve balance with an appropriately designed rhinoplasty in concert with fat grafting and possibly blepharoplasty.  I hope this helps!All the best,Rian A. Maercks M.D.

Soheila Rostami, MD, FAAO, FAACS · Answer

As long as you have both surgeons on the same day, you may be able to do both on the same day. But make sure that you get evaluated by an oculofacial plastic surgeon for your eyes. From the picture I see, it is not clear where your own eyebrow falls. It appears that it is in good position and does not need to be lifted. I think from this picture you only need to have an upper eyelid blepharoplasty. So that is the reason to make sure to see the right person to have the right out come.

Howard Sutkin, MD · Answer

Most plastic surgeons will do face/eyes/nose all together and are experts in doing so.  Do not feel that you have to go to a super specialist unless there is no limit whatsoever on your budget.

Darryl J. Blinski, MD · Answer

Great question! But even with posted photos ONLY IN PERSON second opinion examinations would allow a definitive reply.

Francis R. Palmer, III, MD (retired) · Answer

Hi, this is a reasonable question.  I'm a Facial Plastic Surgeon and have performed Rhinoplasty, Eyelid Surgery (Blepharoplasty) and Browlifts for over 25 years...often at the same time on my patients.  All together this should be around 3 hours of surgery and very well tolerated.  It's all a matter of finding a Facial Plastic Surgeon or plastic & cosmetic surgeon that's experienced in all three procedures.  One anesthetic, one surgery and one recovery.  Makes the most sense.

Richard W. Fleming, MD (retired) · Answer

If you're going to have both procedures, it would be foolish not to have both at the same time. Find an excellent surgeon who can show you good results after rhinoplasty, browlift and eyelid surgery  I would do a partial brow lift and upper eyelid blepharoplasty. I may recommend lower lid refinement after examining you.

Rhinoplasty revisions and brow lift together or separate? (Photo)

Answers (10)

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