Do I need a brow lift or upper eyelid removal? (Photo)

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

You may benefit from a browlift to move the medial brows above the level of the orbital rim. This may help improve the upper eyelid skin but you may also benefit from a blepharoplasty at the same time or later.

Best Wishes,

Gary Horndeski, M.D.

Hi, A blepharoplasty only should give you a nice improvement. You are correct in assessing that the brow and eyelid are both important contributing factors, but your brow seems to be in a good position, and it's always best to avoid unnecessary surgery. For upper blepharoplasty, especially because you are young, it is important to remove skin only, no muscle or fat. I also prefer to do a brow fat pad suspension in many cases, which adds a very nice aesthetic to the outer eyelid (more tarsal show).Good luck!