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

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.

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.

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!

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

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.

It is difficult to give you an answer without an in keratin examination but often the best approach is a lateral or temporal browlift combined with a small amount of upper eyelid skin excision. The procedure is easily done as an office procedure. The temporal browlift when lroooerly performed leaves a natural and subtle change in brow position but is the best way to get a natural correction of lateral upper eyelid skin excess.