I think im going to start consulting with mds soon. I already had a lower bleph a few years ago and it's been great. I'm looking into doing either an upper bleph or maybe and eyebrow lift and idk how to decide which is one right for me?
August 12, 2025
Answer: Upper blepharoplasty and lip lift 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.
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August 12, 2025
Answer: Upper blepharoplasty and lip lift 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.
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August 12, 2025
Answer: As routinely performed, neither a blepharoplasty or forehead lift will be right for you. 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.
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August 12, 2025
Answer: As routinely performed, neither a blepharoplasty or forehead lift will be right for you. 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.
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