Upper Bleph AND Brow Lift or no? (photo)

I recommend a brow lift. This will decrease the vertical height of the forehead, lower the hairline and pull up the eyebrows. You may or may not benefit from an upper blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for an upper bleph procedure as that procedure will remove excess skin to your upper eyelids. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!

In my opinion, having upper blepharoplasty surgery will give you great results. I don’t necessarily recommend brow lift at the moment unless you are looking for what we call cat eyes. If you are happy with natural, more greasy and younger look, I recommend you upper eyelid only. You will be very happy with your outcome. Best of luck to you.

I generally feel a brow lift gives him more natural better Aesthetic outcome, but sometimes the results are only semi permanent as the brow has a tendency to slowly drift down with time.
In that sense, an upper eyelid surgery has better longevity.
Usually, a combination of both gives the most natural and impressive results.
My personal approach would be to do the brow lift first followed by eyelid surgery six or 12 months later.
Sometimes people can’t close their eyelids after surgery if both are done at the same time.
Ask your provider to open up their portfolio and show you as many before and after pictures as possible, especially of the combination procedure.
Bring pictures of your face to use as reference.
Ask them to show you as many pictures as possible of previous patients that had similar facial characteristics.
An experience used provider should have no shortage of before and after pictures and this is your best way of knowing what your results are likely to look like as well as vetting your provider in regards to experience.
You might find the different providers have different opinions for this topic.
There are also different approaches on how to do the brow lift in each of these has advantages and disadvantages as well.
If you have a high hairline, then you may want to avoid a brow lift that raises your hairline further.
Best,
Mats Hagstrom MD