Brow lift, bleph, or both? (Photo)

Question

Would appreciate any advice from Drs regarding my heavy brow and deep set eyes. I'd like to look less sad, less masculine and brighten my eyes!

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your exact situation.

For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Gary M. Horndeski, MD · Answer

I recommend a browlift to raise the eyebrows above the orbital rim. This may help with the upper eyelid skin. Most likely you will not need an upper blepharoplasty. However, a physical examination is needed to determine the exact procedure required.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Anna Frants, MD · Answer

A non surgical option would be to try a chemical browlift with Botox. An experienced injector could inject the tail of the eyebrow to give a subtle lift. 
Surgical option of browlift would help open up the eyes. The brow lift should be focused on predominantly lifting the outer portion of the eyebrows that corresponds to the heaviness seen in the lateral eyelid. Based on your pictures, I wouldnt recommend an upper blepharoplasty at this time for you. Lifting the outer brow would improve the slight excess seen in the lateral upper eyelids.

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