Would a Brow Lift correct my brow and eyelid atrophy and uneven eyelids? (photos)

Question

Hi, I have one extremely droopy eyelid giving my eyes (and thus my face as a whole) an uneven look. I am very insecure about this and it’s really affecting my self esteem. I have considered a cat eye thread lift, blepharoplasty, and brow lift. I’ve previously had a Botox brow lift but it literally did nothing. I’m really not sure what to do as I’ve been informed most surgeons will be hesitant to perform a brow lift as I’m only 30.

Hugo Higa, MD · Answer

Dear Vaddams91,

Looking at your photo, I feel that the issue you're having isn't the brow.  It's the eyelid.  You have a mild ptosis on that side.  Because the eyelid is low, you're compensating by raising the left brow to pull the lid above the visual axis so you can see.  The levator muscle of the left eyelid needs to be tightened.  Once the lid has lifted, the brow will come down to match that of the other side.  A blepharoplasty will only remove skin but the eyelid will still be low.

Remember - ptosis surgery, NOT blepharoplasty.

Hope this helps!

Cheers,

Hugo

Jason Emer, MD · Answer

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.​

Stefan Mark Szczerba, MD · Answer

Hi you have congenital eyelid ptosis (droop) and should see a Oculoplastic surgeon who can help adjust the muscle that helps lift your eyelid.  It's highly specialized surgeon who specializes in this type of surgery who can determine which surgery is the best one for your level of ptosis.  The brow ptosis can be adjusted with Botox but won't really help until your eyelid is working stronger and lifting your eyelid more effectively.  Best Wishes!!

Would a Brow Lift correct my brow and eyelid atrophy and uneven eyelids? (photos)

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Everything you need to know about Brow Lift

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Would a Brow Lift correct my brow and eyelid atrophy and uneven eyelids? (photos)

Answers (3)

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Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.