Blepharoplasty or forehead lift? (Photo)

In your photo, it looks like you are lifting up the eyebrow over your right eye, but on the other side, your brow appears to be below the bone. That means that you will probably do well with a browlift, but you would need a full exam to make sure. Be sure to see a facial specialist for consultation.

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct excess upper eyelid skin, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

Hello there Melissa,
Let the Dysport wear off over the next few months and consult with a blepharoplasty expert. I would likely perform a skin only upper blepharoplasty under local anesthesia in our office. It is quick, easy, long lasting, and very effective. Feel free to contact me with any further concerns or questions. Make sure to choose your bleph surgeon very carefully. Good luck and be well.
Michael Persky, MD
Encino, CA