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

A blepharoplasty will not lower your eyebrows.  Your eyebrow position is fine and should not change should you pursue an upper lid bleph.  It would be a nice procedure for you. 

From the photos you posted it appears your brows are in satisfactory position and are not exhibiting ptosis (drooping of the brows).  In patients that exhibit ptosis, as well as upper eyelid aging, a browlift should be performed in conjunction with upper blepharoplasty to prevent further eyebrow descent.  In your case, an upper blepharoplasty alone would be an excellent procedure to rejuvenate and refresh the tired appearance of the upper lids.  I suggest you be evaluated by a surgeon specializing in facial cosmetic surgery to research your options.  Good Luck!

There can be a subtle drop in eyebrow position in isolated upper eyelid blepharoplasty.  However, based on the photos which show obvious indications for upper eyelid blepharoplasty, I doubt this will be significant.

Thank you for your question and for your photos! An upper blepharoplasty is a simple procedure whereby excess skin between the eyelashes and eyebrow are removed. From what I can see in your photos, your eyebrow is in good position and you would benefit from an upper blepharoplasty to rejuvenate you! I would recommend seeing a board certified facial plastic surgeon who has extensive experience performing an upper blepharoplasty. Best of luck and I hope this helps!

An aggressive upper lid bleph can "pull" the eyebrows down to compensate for skin removal. Sometimes a brow lift is the way to go first with or without a conservative upper lid bleph.

This is a great question.The upper eyelid is really everything between the eyebrow and the eyelashes.  So, how the upper eyelid looks depends in part on where the eyebrow is located.  In what is considered the "ideal" eyebrow, the outer end of the eyebrow is up above the rim of bone at that part of the eye.  If the eyebrow is at or below the rim of bone there, it is considered low (in women).A person who has low eyebrows often unknowingly wrinkles the forehead, trying to elevate the eyebrow, because when the eyebrow is low more upper eyelid skin hangs down toward or over the eye.  Elevating the eyebrow by wrinkling the forehead lifts the eyelid skin off of the eye and allows more light to enter the eye.In a similar manner, removing the upper eyelid skin surgically allows more light to enter the eye.  The effect of this is that the person stops using the forehead muscles to lift the eyebrows.  When the forehead relaxes the eyebrows may drop a bit.  The net effect of this sometimes is that after the blepharoplasty, the eyebrow descends and it almost looks like a blepharoplasty was not performed.If you're still with me and understand all of this, great!  When I evaluate someone for upper blepharoplasty surgery I look at the entire picture.  If someone has a lot of forehead wrinkles, that's one indication the eyebrows may actually be a bit low.  It's important to try to evaluate the eyebrow position with the forehead at rest, with few wrinkles in the forehead.  Some people will benefit most from undergoing upper blepharoplasty AND browlift surgery.  Sometimes just a browlift will do, and sometimes just upper blepharoplasty will do.  Visit with a surgeon who does a lot of upper eyelid surgery.  Photographs are helpful, but they don't tell the whole story.  These types of procedures may have a dramatic effect and enhance the appearance of this part of the face, but the exact procedure that may work best can really only be determined by an in-person consultation.

Your eyebrows appear to be in good position. An upper blepharoplasty is an excellent treatment for heavy and tired-appearing eyes.Heavy appearing eyes can be the result of excess eyelid skin that starts to droop as well as possible fat pads that start to bulge above the eyes. Both of these elements are addressed during an upper eyelid blepharoplasty. In order to determine if this procedure is best for you, an in-person exam is necessary.