Whic procedure would be best for me - upper and lower bleph or endoscopic brow lift? (Photos)

This is a difficult question to answer based on 2 photos, but I will make some general comments. There does appear to be eyebrow depression, and this could be the result of the Botox that you received. If this is your natural brow position, then a browlift procedure would be needed. The risks of increasing the forehead length is increased with an endoscopic browlift, so perhaps another technique would be advisable, because of your current hairline. Some patients require both a browlift procedure and a blepharoplasty. This would be determined at the time of your consultation.

A combination of upper and tranconjuctival lower blepharoplasty would be my recommendation in your case. Good luck.

From the photographs presented, your eyebrow position is just fine, and a brow lift would make you look permanently too surprised. The goal of upper eyelid surgery is to remove hooded and extra skin on the upper lids and remove a small fat pocket on the inner corner. The goal of lower eyelid surgery at age 37 is to remove the fat bags creating the puffy look. That incision is called a trans conjunctival approach with two small incisions on the inside of the eyelid. No external incisions are needed. The incision for the upper lids is located directly in the eyelid crease. Choose your eyelid surgeon wisely based on extensive experience with eyelid surgery.