Would a brow lift help my sagging eyelids?

Question

Looking for a procedure to help hooded eyes. The right eyelid sags more than the other. Would brow lift be a good option, or eyelid surgery?

Timothy Osborn, MD · Answer

Your brows look great so probably would not touch them unless you'd like them lifted. An upper blepharoplasty would be more indicated if you are only looking to improve the "sagging" appearance of your upper eyelids. Let us know if you'd like to discuss further, we can set up a virtual consultation and work through photos and simulations.

Pedro Literas, MD · Answer

“hooded eyelids” can come from two different anatomical issues &mdash; and choosing the right procedure depends on identifying which one you actually have.1. Upper eyelid excess (true eyelid skin redundancy)If the heaviness comes mainly from extra skin in the upper eyelid, an upper blepharoplasty is usually the best solution.It removes the excess skin and can define the crease, making the eyes look cleaner and more open.2. Brow descent (especially lateral brow drop)If the outer brow has descended, it pushes tissue down over the eyelid, creating a “hooded” appearance.In these cases, a brow lift (often temporal or endoscopic) is more appropriate because it addresses the root cause.What I often see in patients like you:Most patients are actually a combination of both, with:mild to moderate brow descent (especially lateral)and some degree of eyelid skin excessIn those cases, doing only a blepharoplasty can sometimes under-correct or even make the brow look heavier.My approach:The key is a detailed facial analysis, not a one-size-fits-all answer.In many patients, the most natural and balanced result comes from:conservative upper blepharoplasty + subtle brow elevation(often a temporal brow lift rather than an aggressive full lift)This avoids an overdone look and keeps the result elegant and natural.Important takeaway:The question is not “which procedure is better?”it’s “what is causing YOUR hooding?”That determines the right treatment.

Zoran Potparic, MD · Answer

Based on this photo,  you seem to have droopy eyelids, condition known as eyelid ptosis. In person evaluation by a board certified plastic or oculoplastic surgeon is needed to establish diagnosis and discuss options of treatment. Good luck.

Safa Sharabi, MD · Answer

Hello,
Thanks for your question and photo. It appears to me that your eyebrows are in excellent position-- for this reason, I would not recommend a brow lift. What I notice is that although you don't have a severe amount of excess skin of your upper eyelids, your skin is a touch asymmetric-- with your upper eyelid fold appearing lower on your right. Additionally, you may benefit from some nano-fat grafting to the upper orbit. I'm linking a video that speaks to these types of procedures:
Happy to help however I can!
Sincerely,
Dr. Safa Sharabi
Female Board Certified Plastic Surgeon in Santa Monica, CA

Gary M. Horndeski, MD · Answer

Your eyebrows should be at or above the level of the orbital rim and your eyebrows appear to be in the right position. You do have a high hairline. You may benefit from a browlift to lift the eyebrows slightly and lower the hairline. You also have some extra eyelid skin and you may require an upper blepharoplasty.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Kyle Kimura, MD · Answer

Thank you for your question and photo. 
I think this is a great question. It is always important to assess if heaviness of the eyelids is from the eyelids themselves (ie the skin and/or fat) or from the brow sitting lower causing fullness of the eyelids. The other caveat to always factor is whether you recently had botox as this can affect the position of the brows. On brief glance from your photo it appears your brow position is actually quite good. I think your issues may be coming more from the eyelids and as such would likely be a candidate for an upper blepharoplasty. I think it is fairly often that I notice some asymmetry of the eyelids and this can be improved with surgery, though not always made completely symmetric. Your best option is going to be to schedule a consultation with a plastic surgeon that specializes in eyelids that can go over the nuances of surgery and also review your options. 
Hope this helps and best of luck! Kyle Kimura, MD

Would a brow lift help my sagging eyelids?

Answers (6)

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