Should I get an outer brow lift and/or upper bleph?

Question

I'm 45 w/former 2018 upper bleph double eyelid surgery and now have droopy lids. A surgeon told me that I just need some skin excised from my upper eyelid instead of an outer brow lift. Do I actually have enough skin for him to just cut it to make it look better? Do I need both skin cut + lift? Or just the outer brow lift? In the side-by-side collage photo, I'm pulling up my outer eyebrow on left and just relaxed on right. Sorry for pixelization editing.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You would likely benefit most from an upper blepharoplasty to improve upper lid laxity and remove excess skin. Through small incisions, this surgical procedure can correct drooping and modify the fat in this area without requiring the eyebrows to be raised. 
The approach results in a refreshed, more awake appearance that generally lasts for over ten years. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can make the best suggestion based on your medical history and cosmetic goals.

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Michelle Lee, MD · Answer

Hi there! Your eyebrows appear to be in a good position in your photos. It looks like you would benefit from a revision upper blepharoplasty surgery to remove the bit of excess skin. Hope this helps!

Marc Polacco, MD · Answer

Thank you for your question. Based on your photos, it appears that an outer brow lift would give you a better result. I would start there and then make an assessment whether or not removal of more eyelid skin would be beneficial. Hope that's helpful.
-Dr. P

Kaveh Alizadeh, MD, MSc, FACS · Answer

Hi RenovationProject415,
I do think you area good candidate for limited lateral brow lift or naturabrow ™️ whihc uses a small incision in your hairline to lift the outer brow and help provide a natural result without a need for eyelid lift.

Should I get an outer brow lift and/or upper bleph?

Answers (6)

Answer: Upper bleph vs brow lift

Answer: Upper bleph vs brow lift

Answer: Candidate for browlift

Answer: Candidate for browlift

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Everything you need to know about Brow Lift

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Should I get an outer brow lift and/or upper bleph?

Answers (6)

Answer: Upper bleph vs brow lift

Answer: Upper bleph vs brow lift

Answer: Candidate for browlift

Answer: Candidate for browlift

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.