Small eyes. I have thought about a brow lift, but I don't know if at 23 I am too young (Photo)

Thank you for your question.You are very young yet you do have heavy eyebrows, which secondarily gives you the 'look' of heavy upper lids.  The issue is with the brow and likely mom or dad had the same in their 20's.A brow lift is an option with you and there are various techniques to be considered.  The endoscopic is a simpler procedure but is not as powerful and long-lasting as the other procedures.  You do need a lift of the entire brow, inner and outer.As for the lower lids, I think you have thickening (hypertrophy) of the lower lid muscle rather than fat pads (can't be 100% sure based on a small picture alone).  You could try 2 units of Botox in each lower lid muscle as a trial.  Otherwise, a strip of muscle can be safely removed with a small incision.Let us know if this information was
useful.



Best regards,



Dr. Marc DuPéré, Toronto aesthetic
plastic surgeon and facialist

Textbook answer: Yes!But, you are an individual, not a schematic in a plastic surgery chapter. You have low brows which leads to the look of heavy lids. Therefore, if you truly desire higher brows and understand that this procedure is irreversible, then a browlift is the appropriate procedure for you. 

While it is not common to perform a browlift on a 23 year old, it is certainly done from time to time for the right reason. Some people have a naturally low brow, possibly due to genetic factors, and this can be lifted with a brow lift. The procedure, an endoscopic brow lift is relatively easy to undergo and the result looks totally natural. Be sure to see someone who specializes in the endoscopic technique for browlifting.

In your picture you are smiling and this can alter the natural configuration of the brows and upper and lower lids (ie, at rest your brows may actually be a bit higher than depicted in the photo). However, you do have somewhat of a low-set brow and this is likely just part of your anatomy and not due to aging. There is no "right" age to have a browlift done if the brows are actually low. Having said that, at your young age, I would make sure you thoroughly research your options and see a reputable surgeon prior to moving forward with any procedure. Personally, I would lean more towards observation without surgery but an endoscopic brow lift would not be unreasonable.With regard to your lower lid "bags", these really aren't bags at all in the sense that they are not aging changes, but rather a sign of youthful fullness in this area due to contraction of the eyelid musculature when you smile. As others have mentioned, very small amounts of Botox in this area may be helpful with this.Overall, I think your most important decision to make is to find an experienced oculoplastic surgeon who can do a thorough in-person evaluation and discuss your treatment options with you (which should include no treatment). Together you can come up with a reasonable decision together. Good luck!

Age is often overemphasized in plastic surgery. If the "deformity" exists, is not likely to improve, surgery will not negatively affect something else and the patient is mature enough to understand/accept goals/risks/limits then surgery may be an option. From your single photo you provided, you appear to have a low position heavier brow than average. If this continues to be of "enough" concern to you, surgery may be an option. I have done brow lifts in patients your age. Remember though, the second word in "plastic surgery" is surgery, it has risks.The "bags" under your eyes are not bags, but contracted muscle below the eyelashes in the upper part of the lower eyelid. This is actually a characteristic of youthfulness though there are surgical methods to improve this.

Low brows may be secondary to the aging process or an unwanted, inherited physical feature. In your case the cause is obvious. I have successfully done brow lifts on many young ladies your age.