Is it a brow lift required to achieve symmetry with an upper blepharoplasty? (Photo)

Question

Is a brow lift required to achieve symmetry in a upper blephroplasty on my eyes?

Thomas A. Mustoe, MD, FACS · Answer

Like every person one side of the face is not a mirror image of the other and that asymmetry undoubtedly involves bony asymmetry. A brow lift st the time of blepharoplasty could llkkely increase symmetry versus an upper blepharoplasty alone but Woukd not dummy correct the asymmetry.  One eye appears to be slightly more open than the other and that is due to differences in the bony orbit.

Gary M. Horndeski, MD · Answer

In your case, your brows are remarkably asymmetrical.  I would recommend a browlift at the same time of the blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

William Portuese, MD · Answer

While you do have some mild asymmetry of your eyebrows, you are not a candidate for a brow lift procedure due to the normal positioning of your eyebrows currently. A brow lift is only used for patients who have low set eyebrows. With an upper blepharoplasty procedure, you can have a differential amount of skin removed in order to make your eyelids more symmetrical in appearance. In our practice, this can be performed under local anesthesia as an outpatient procedure, which takes about 30 minutes.

Kenneth R. Francis, MD, FACS · Answer

Dear Phenomenal,
Complete symmetry is something that almost no one has, especially in relation to the eyelids.  Your upper lids are relatively symmetric in the photo and it is difficult to determine the need for a brow lift from a photo.  The structures are very dynamic in this area and photographs don't accurately detect that.  Photographs are pretty good at vetting out static asymmetries however, and it appears that you may have a bony total facial asymmetry that may be affecting your perception of eyelid/brow asymmetry.  Brow lifting and upper blepharoplasty often go hand in hand...when appropriate and necessary.  Seek consultation with an American Board of Plastic Surgery board certified plastic surgeon for an examination and discussion of your options.  Good luck!

Is it a brow lift required to achieve symmetry with an upper blepharoplasty? (Photo)

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