Is brow lift required with upper blepharoplasty? (Photo)

This is a great question! It is always very important to assess the position of the brow when considering blepharoplasty as this is an often overlooked cause for fullness/heaviness/excess skin of the upper eyelids. This is best determined by your surgeon during consultation by evaluating how the brows are contributing to the eyelid issues. While it is hard to determine without being able to evaluate in person, it does look like your brows are contributing and the best results would be from targeting both the eyelids (blepharoplasty) and the brows (brow lift).
To answer the second part of your question: I often do not recommend a direct brow lift unless you have very heavy wrinkles of the forehead to hide the scar. In your situation, an endoscopic or temporal browlift with incisions hidden in the hairline may be more ideal.
Hope this helps! Kyle Kimura, MD

With an upper eyelid blepharoplasty, the extra skin is excised with the scar in the eyelid crease. At times, the excess upper eyelid hooding is in part related to eyebrow ptosis/ descent. A brow lift goal is to elevate the eyebrows, incisions can be placed in the scalp, along the forehead hairline, in a deep forehead crease or along the upper eyebrow. Scars are permanent and may take a year to mature and fade.