Heavy forehead - Would a brow lift and/or blephoplasty actually help with this sensation? (Photo)

Question

I wondered if a brow lift will help me feel more alert and awake? As i age, i have the sensation of a drooping, heavy forehead and eyelids that I believe contrubite to a tired sensation. It feels worse when my sleep is poor but the sensation is basivally always there and i have to loft my forehead muscles to feel Awake. This gets exhausting throughout the day. Would a brow lift and/or blephoplasty actually help with this sensation?

Carl Truesdale, MD · Answer

Thank you for sharing your pictures. Based on the images, you appear to be an excellent candidate for a brow lift and an upper blepharoplasty. These procedures work together to elevate the brow position and remove excess upper eyelid skin, helping to open up the eyes and create a more refreshed, awake, and alert appearance. A brow lift helps reposition the brows to a more youthful height, while also reducing the constant subconscious effort of raising the brows to see better or feel more open. An upper blepharoplasty further refines the result by removing redundant eyelid skin that can contribute to heaviness or hooding. Together, these procedures provide a balanced and natural improvement that enhances the eye area without changing your fundamental facial character. Overall, this combination offers an optimal outcome for achieving the refreshed and rejuvenated look you are hoping for.

Gary M. Horndeski, MD · Answer

The distance between your eyebrows and hairline is too great. You would benefit from an incisional browlift with the incision at forehead/hairline junction. This will decrease the vertical distance of your forehead, lower the hairline and pull up the eyebrows and help smooth out the midline of the forehead. You may or may not need an upper blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Frank Agullo, MD · Answer

Heavy forehead with eyes that feel tired is one of the most common consults I see, and the answer depends on where the heaviness actually lives. Quick test in the mirror: have someone gently lift your brows up about a half inch. If that tired sensation goes and your eyes feel awake, you need a brow lift. If you still feel hooded upper eyelid skin pressing on the lashes, you need an upper blepharoplasty. A lot of patients need both. The forehead heaviness usually traces back to the frontalis muscle working overtime to lift sagging brows; once the brows are properly positioned the muscle can finally rest. Pick a surgeon who does both routinely so they can choose the right one or the right combo for your anatomy. A static photo never tells the full story for this question.

#StayBeautiful,

@RealDrWorldWide

#StayBeautiful,

@RealDrWorldWide

Waylon Zeng, MD · Answer

Hi there, thank you for sharing your photos. You are inquiring about brow lift vs blepharoplasty. Blepharoplasty only addresses the extra skin on the upper eyelids. In your situation, you have a little bit of extra skin, but removing it would not help improve the sensation of the “heavy brows”. Only a central brow lift would address this by lifting up the entire brows and forehead. I’m also seeing a bit of overactivation of your glabella (11 lines). This can sometimes also contribute to the sensation of heaviness to the brows. You may be carrying stress in that location (I do as well!), so botox can be helpful in relaxing those tense muscles in the middle between and right on top of your eyebrows. Hope that helps!

Heavy forehead - Would a brow lift and/or blephoplasty actually help with this sensation? (Photo)

Answers (4)

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