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Brow lift or upper blepharoplasty? (Photos)

Passionate994685Sep 28, 2025
Doctor recommended ptosis and direct brow lift on one side. Is this the best thing to do? Would upper belpharoplasty be better to address the skin bulge on my left eye?

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Dr. Chet Mays, MD
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Dr. Chet Mays, MD
Board Certified Plastic Surgeon
4.8 | 68 Reviews
Answered on Dec 26, 2025
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Dr. Jeffrey M. Darrow, MD
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Dr. Jeffrey M. Darrow, MD
Board Certified Plastic Surgeon
4.9 | 171 Reviews
Answered on Nov 14, 2025
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C. Blake Perry, MD

You would need a revision lower lid blepharoplasty with fat grafting. Your lower eyelid fat is very prominent and needs to be appropriately reduced with surgery. The loss of volume in your cheek and area around your eyes can then be addressed. Non-surgical options will be of very little help.

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C. Blake Perry, MD

Anytime you raise the eyelids, the redundant skin will gather more in the superior sulcus. In order to improve symmetry you have to address 3 issues: brow position, eyelid height and contour, and redundant skin. Revision surgery is possible but can be challenging. Best to see an eyelid expert.

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Nelson Lee Novick, MD

A photo with your face in repose would have been more helpful for evaluating your issue. However, a robust HA volumizing filler works very well for addressiving cheek volume loss and restoring a more feminine, heart-shaped oval face. It usually secondarily improves the under-eyes, as well....

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C. Blake Perry, MD

You would be a good candidate for lower lid blepharoplasty with fat grafting or fat transposition. This surgery would remove the “bag” from the lower lid and give a smooth transition to the cheek. In my opinion, surgery is the best way to address the issue.

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Lexie Wang, MD

To be honest, I don't see a substantial issue with your eyes in these photos that necessarily warrant doing more surgery.

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Lexie Wang, MD

It looks like you have some hollowing. it may be that the fat repositioning wasn't enough vs. didn't work/last. Hard to know for sure. You could consider more volume in that area as a corrective course. - don't need to do filler if you don't want to, I would consider fat grafting if I were you....

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