Ive been told by a couple of docs that I need a brow lift and upper and lower eyelift while others didnt mention a browlift. In 67 and I dont want to do a browlift for several reasons so I didnt bring it up to the doctors that didnt mention it. My concern is that Ive read that the eyelift can pull down the eyebrow further. Is that usually the case?
Answer: It is vital to evaluate the brow position before an eyelid lift... This is an interesting question. When undergoing an evaluation, the surgeon should basically examine the position of the eyebrows, the skin over the main part of the eyelid and the heaviness to the outside or lateral part of the eyelid (there are many other things to evaluate that we can't fully cover here). If there is a lot of extra skin laterally or the eyebrow position is too low, a browlift should be performed at the same time as upper lid surgery.One reason for this is the fact that the upper lid incision should not go far outside the eye as it will be visible, and if the lateral heavy skin is not dealt with, the patient is usually not happy. Also, if the brow is too low, the surgeon may remove too much skin, because if enough skin is removed to make the upper eyelid look good in the presence of a droopy brow, that patient may never be able to have a browlift in the future because there won't be enough skin left to support it. A properly performed upper eyelid lift should not physically "pull" the eyebrows down, but it can remove the impetus for a person to raise their eyebrows to see better, making them look lower. Also gravity will continue to exert its effect on the brows making them appear lower over time.It is ultimately very important to visit potential surgeons who have a lot experience working on the eyelids and eyebrows. Good luck.
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Answer: It is vital to evaluate the brow position before an eyelid lift... This is an interesting question. When undergoing an evaluation, the surgeon should basically examine the position of the eyebrows, the skin over the main part of the eyelid and the heaviness to the outside or lateral part of the eyelid (there are many other things to evaluate that we can't fully cover here). If there is a lot of extra skin laterally or the eyebrow position is too low, a browlift should be performed at the same time as upper lid surgery.One reason for this is the fact that the upper lid incision should not go far outside the eye as it will be visible, and if the lateral heavy skin is not dealt with, the patient is usually not happy. Also, if the brow is too low, the surgeon may remove too much skin, because if enough skin is removed to make the upper eyelid look good in the presence of a droopy brow, that patient may never be able to have a browlift in the future because there won't be enough skin left to support it. A properly performed upper eyelid lift should not physically "pull" the eyebrows down, but it can remove the impetus for a person to raise their eyebrows to see better, making them look lower. Also gravity will continue to exert its effect on the brows making them appear lower over time.It is ultimately very important to visit potential surgeons who have a lot experience working on the eyelids and eyebrows. Good luck.
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June 28, 2014
Answer: The brows coming down after belpharoplasty has noting to do with "if properly performed." I do not know if that is an ignorant statement or just something that is being said to reassure you. You did not provide photographs so lets talk hypothetically. There is always resting tone between the brow elevators (frontalis muscle) and the brow depressors (orbicularis oculi, corrugator supercilli, procerus, and depressor supercilli muscles). In the presence of brow ptosis where the upper eyelid fold rests on the eyelid platform or against the eyelashes, or then there is upper eyelid ptosis, a signal is sent to the brain to activate the frontalis muscle to elevate the forehead and the eyebrows. This generally reduced the bulk resting on the upper eyelid.Performing upper blepharoplasty and or ptosis surgery, reduces the drive to elevate the eyebrows. Inevitably to some degree, the eyebrows will relax to a lower position following these surgeries. The effect of this is not always detrimental. Relaxation of the frontalis muscle is associated with fewer forehead lines and less brow furrowing. However, this must be individually assessed in designing a blepharoplasty for a given individual. Sometimes the degree of relaxation is simply too much and not aesthetically beneficial. The effect of an over aggressive upper blepharoplasty in a setting of a hyper mobile eyebrow can be a fall in the brow so low that it almost looks like the surgeon sewed the eyebrows to the eyelashes. In these circumstances, it is prudent to offer a forehead lift with the upper blepharoplasty to stabilize the eyebrows so they do not collapse into the eyelid space after surgery. Repositioning the brow will necessarily effect the amount of upper eyelid skin resection that is necessary. Ultimately, there is no substitute for a consultation with a very experienced oculofacial surgeon who listens to your goals and concerns, performs a detailed examination, and discusses your options so you are empowered to make the right choice and not force you to settle for cookie cutter surgery.
Helpful 1 person found this helpful
June 28, 2014
Answer: The brows coming down after belpharoplasty has noting to do with "if properly performed." I do not know if that is an ignorant statement or just something that is being said to reassure you. You did not provide photographs so lets talk hypothetically. There is always resting tone between the brow elevators (frontalis muscle) and the brow depressors (orbicularis oculi, corrugator supercilli, procerus, and depressor supercilli muscles). In the presence of brow ptosis where the upper eyelid fold rests on the eyelid platform or against the eyelashes, or then there is upper eyelid ptosis, a signal is sent to the brain to activate the frontalis muscle to elevate the forehead and the eyebrows. This generally reduced the bulk resting on the upper eyelid.Performing upper blepharoplasty and or ptosis surgery, reduces the drive to elevate the eyebrows. Inevitably to some degree, the eyebrows will relax to a lower position following these surgeries. The effect of this is not always detrimental. Relaxation of the frontalis muscle is associated with fewer forehead lines and less brow furrowing. However, this must be individually assessed in designing a blepharoplasty for a given individual. Sometimes the degree of relaxation is simply too much and not aesthetically beneficial. The effect of an over aggressive upper blepharoplasty in a setting of a hyper mobile eyebrow can be a fall in the brow so low that it almost looks like the surgeon sewed the eyebrows to the eyelashes. In these circumstances, it is prudent to offer a forehead lift with the upper blepharoplasty to stabilize the eyebrows so they do not collapse into the eyelid space after surgery. Repositioning the brow will necessarily effect the amount of upper eyelid skin resection that is necessary. Ultimately, there is no substitute for a consultation with a very experienced oculofacial surgeon who listens to your goals and concerns, performs a detailed examination, and discusses your options so you are empowered to make the right choice and not force you to settle for cookie cutter surgery.
Helpful 1 person found this helpful
Answer: Will upper blepharoplasty cause my brows to drop? Removing loose skin from the upper eyelid is a common part of upper blepharoplasty. In the absence of a photo or an assessment of your eyes this question is relatively difficult to answer as the answer is dependent on your individual eyes and position of your eyebrows.
Helpful 1 person found this helpful
Answer: Will upper blepharoplasty cause my brows to drop? Removing loose skin from the upper eyelid is a common part of upper blepharoplasty. In the absence of a photo or an assessment of your eyes this question is relatively difficult to answer as the answer is dependent on your individual eyes and position of your eyebrows.
Helpful 1 person found this helpful
July 21, 2014
Answer: Brow evaluation when performing upper eyelid surgery It is very important to look at the brow position when considering upper eyelid surgery. Most patient have some degree of brow decent with age and not addressing this can result in removal of excess eyelid skin and a further decent of the brows. That being said, there are various ways to improve brow position from non surgical botox and fillers to surgical procedures. Much of the time a brow stabilization procedure can be done during the upper lid surgery by simply putting a few sutures to stabilize the brows through the same incision as the eyelid surgery is being done. This won't necessarily lift the brows but will keep them from coming down further. I commonly perform brow lifting through an eyelid crease incision to minimize the number of incisions, minimize healing time etc so adding a procedure to lift or stabilize the brow doesn't always entail an additional endoscopic brow and forehead lift. Make sure that the doctors you've seen are specialists in eyelids/eyebrows and can address these issues. Best of luck...
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July 21, 2014
Answer: Brow evaluation when performing upper eyelid surgery It is very important to look at the brow position when considering upper eyelid surgery. Most patient have some degree of brow decent with age and not addressing this can result in removal of excess eyelid skin and a further decent of the brows. That being said, there are various ways to improve brow position from non surgical botox and fillers to surgical procedures. Much of the time a brow stabilization procedure can be done during the upper lid surgery by simply putting a few sutures to stabilize the brows through the same incision as the eyelid surgery is being done. This won't necessarily lift the brows but will keep them from coming down further. I commonly perform brow lifting through an eyelid crease incision to minimize the number of incisions, minimize healing time etc so adding a procedure to lift or stabilize the brow doesn't always entail an additional endoscopic brow and forehead lift. Make sure that the doctors you've seen are specialists in eyelids/eyebrows and can address these issues. Best of luck...
Helpful 2 people found this helpful
July 1, 2014
Answer: Is eyebrow lift necessary with eyelid lift? An eyelid left removes redundant skin between the brows and eyelashes. When you shorten this distance, you can often get pulling down of the brows. A common way to prevent this is with an internal browpexy. Dissection is made under the skin of the brows, from the eyelid incision, and one or two sutures are placed to keep the brow in good position. It will elevate the brows on average 1-3mm (according to recent studies) and prevent them from dropping. It is much less invasive than a forehead lift and just adds a few minutes to your surgery.
Helpful 1 person found this helpful
July 1, 2014
Answer: Is eyebrow lift necessary with eyelid lift? An eyelid left removes redundant skin between the brows and eyelashes. When you shorten this distance, you can often get pulling down of the brows. A common way to prevent this is with an internal browpexy. Dissection is made under the skin of the brows, from the eyelid incision, and one or two sutures are placed to keep the brow in good position. It will elevate the brows on average 1-3mm (according to recent studies) and prevent them from dropping. It is much less invasive than a forehead lift and just adds a few minutes to your surgery.
Helpful 1 person found this helpful
