Upper bleph vs eyebrow lift - which is right for me? (Photos)

It doesn't look like you would need a browlift based on these photos, only upper bleph alone. Congrats! That's super rare :)

Thank you for your inquiry! We would love to meet and discuss your concerns! An Upper Blepharoplasty will address any skin laxity concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Thank you for your photos. The decision to have a brow lift should depend upon the position of your eyebrow in relation to the bony orbit of your eye. The eyebrow was supposed to sit above the bony orbital rim. From your photos, your eyebrows sits well above the bony orbital rim, and therefore does not need further elevation. The redundant skin of your upper eyelid can be dealt with very easily with an upper blepharoplasty, done under local anesthesia. The procedure takes approximately an hour and has a rapid recovery. Discuss this with your plastic surgeon. Best wishes.

You do not need a brow lift but you may benefit from an upper blepharoplasty. I would also recommend an eccentric lip lift. This will do 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

You have central levator disinsertion with compensatory eyebrow elevation. In essence, you are doing your own forehead lift in response to perceived heaviness in the your upper eyelids. This is a reflex mechanism so you are not aware that you do this. A blepharoplasty removes skin muscle and fat from the eyelid. Such a procedure will further expose your long upper eyelid platform. Such a procedure is likely to make the upper eyelid more skeletonized which is not generally considered aesthetically beneficial. A forehead lift also will not correct the abnormality in the upper eyelid. There is no substitute for a detailed in person assessment. I suspect that you would benefit from having the detached levator inside the eyelid repaired. This would allow the forehead relax and help restore the upper eyelid folds.

When considering the upper lids some patients need an upper blepharoplasty, some a brow lift, and some need both. So how do you know what's best for you? For females the brow sits higher on the bone. If it has drifted lower than a brow lift is indicated. If the brow is in the correct position but there is redundant skin on the upper lid then an upper blepharoplasty is recommended. Sometimes both are indicated for the best result. Based on the submitted photos the brow appears to be in good position so only an upper blepharoplasty is indicated. I've included a video on this topic that I hope you find helpful.