Upper blepharoplasty or brow lift? (Photo)

You are a great candidate for upper blepharoplasty surgery. After the surgery, droopy and hooded eyelids will improve tremendously when the excess skin and fat from your eyelids are removed. Best wishes.

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Hello! Thank you for your question. As far as I can see from your photo you have extra skin above your eyes this makes your eye area more small. Your eyebrows are upward so brow lift may not be help you to reach your goal. For a more fresh, elegant looking I recommend you upper eyelid blepharoplasty. Best Regards!

Thank you for submitting your question and photos. Since your eyebrows appear to be well positioned, a brow lift is unlikely the correct course of action. However, upper blepharoplasty can address the hooding concerns you’re referring to and create a more awake and refreshed appearance. During this procedure, excess skin is removed and the fat in this area is modified to address laxity above the eye. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your Botox injection history and determine the best procedure to help you achieve your aesthetic goals.

This may not be a popular answer but it is information that I tell all of my patients. Be careful with botox in your forehead. I am not including the glabella region in that warning. This is the region between your medial third of your brow that almost always benefits from botox. Botox to the mid and lateral frontalis muscles is on the other hand often a problem.The issue is that the frontalis muscle elevates the brow. Paralyze it and your brow will drop. When the brow drops below where it should be, the skin below it also sags. All of a sudden you look more tired, angry, and aged. I can't tell without closely examining your brow position but it appears that your brow skin is still located at or above your supraorbital room. I would hold off on the brow lift for now. A conservative upper blepharoplasty is a reasonable approach. Yes you can consider a brow lift in the future to stabilize the brow from dropping. I would recommend for now that you minimize botox to the mid and lateral aspects of your frontalis muscles.