Can an upper blepharoplasty cause eyebrows to drop? (Photos)

There is no question that upper blepharoplasty and ptosis surgery can be associated with a change in the position of the eyebrows.  In many cases this change is aesthetically desirable in that it can move the face into a more youthful appearance.  You ask if your eyebrows ware too low to begin with.  The answer is that you are actually doing your own forehead lift and using your frontalis muscle to elevate the eyebrows.  You hold the eyebrow higher than they should be.  They are there because you have upper eyelid ptosis.  Blepharoplasty by itself will not help you but it will skeletonize the upper eyelid and that will make you look older-not a good thing.  The problem here is that many eyelid surgeons think their job is removing skin, muscle, and fat in the upper eyelid.  That is what is involved with an upper blepharoplasty.  They do not understand or perform ptosis surgery.  When they do your upper blepharoplasty with or without a forehead lift, and fail to fix the upper eyelid ptosis, it is a set up for an all too common complication: PUBS-post upper blepharoplasty syndrome.  PUBS is characterized by upper eyelid ptosis from a white line disinsertion of the upper eyelid levator aponeurosis, upper eyelid lash ptosis, hollow upper eyelid sulcus, and compensatory eyebrow elevation. You need a correction of the upper eyelid ptosis and a very conservative anchor blepharoplasty.  This will allow the brows to relax down which will help you find a more youthful appearance. 

The short answer is no, the blepharoplasty will not cause a permanent change in brow height. There are maneuvers that can be performed to purposefully change the brow height and shape, but if they are not done, your brows will maintain their current position. My opinion is that your brow height is most likely fine. I would just recommend an upper blepharoplasty. These can easily be performed in the office setting with only a few days to a week of downtime in most patients. Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

The brows can drop a little after blepharoplasty. The reason behind it is the excess skin on the upper eyelids that forces the brows to be lifted high all the time to help with vision. After surgery there is no need for that unconscious lifting of the brow, hence the brows come down to their normal position. RegardsDr. Janjua