Should I get brow lift or eyelid surgery? (Photo)

Hi there! Thanks for your question! It looks like you do have a bit of upper eyelid ptosis (a fancy work for excess skin!) causing your lids to be heavy and give you a "tired" look! I think you are an excellent candidate for an upper blepharoplasty, which is a fairy quick and easy procedure with minimal downtime. I recommend a consultation with a board certified plastic surgeon in your area!

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.​

Thank you for your question and photo. Though it would be best to make a final decision after the Botox treatment has worn off, you may be a candidate for a blepharoplasty procedure to help you achieve the desired eye shape.
Blepharoplasty is an eye lift procedure that can address drooping lids that can produce a hooded appearance. This is achieved by removing excess skin, tightening underlying muscles, and repositioning fat as necessary. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your cosmetic goals and suggest the best treatment option.

You probably should wait until the effects of the Botox In your forehead have worn off, before you are evaluated for a browlift. From the picture you shared, we can see that you have somewhat significant brow asymmetry, with your left brow sitting higher than your right, but, again, this could be caused by your prior Botox treatment, so we would definitely want that to wear off so we could assess the natural position of your brows, and what the appropriate operation for you would be.

Thank you for sharing your questions. It appears you have a mild degree of brow ptosis (sagging) and mild to moderate excess upper eyelid skin. The brows area slightly asymmetric in the photo. This may be related to nuerotoxin (Botox). It would be appropriate to let the Botox "wear off" and having a consult at that point. A conservative upper blepharoplasty would likely be sufficient to improve the upper eyelids. Thank you again for sharing. I hope this information is helpful. Kind regards, Dr. Harmych

Hi Sky1983,
Thanks for the question. Is the Botox in your forehead still active? In your photo, your right eye brow is lower than your left eye brow. The lower right eye brow makes the eyelid skin also appear heavier compared to the left side. First, I would recommend the Botox wearing off so I can properly assess your eyebrow and eyelid skin. One of the earliest signs of aging is the lateral eye brow dropping. You likely have both low brows and extra eyelid skin, and thus would benefit from a lateral brow lift combined wit upper eyelid surgery. If you like the fox eye look, you will need a brow lift to help achieve that look. Both of these procedures can be combined with a rhinoplasty or nose job. I recommend you consult with a board certified facial plastic surgeon to help you achieve your goals.
All the best,Dr. Sanan, MDFacial Plastic SurgeonDouble Board CertifiedLos Angeles, CA

Hello, you can look into PDO thread lift. With this you can achieve the brow lift and the fox eye appearance. The benefit is this procedure is less invasive than surgery and has minimal downtime!!