Would I be a good candidate for eyelid surgery or should I consider a brow lift? Concerned about drooping (photos)

Question

Would you consider me as a good candiate for a eyelid surgery or shoud I have a brow lift surgery as well?

Mark McRae, MD · Answer

Hi there,It is difficult to answer this question without a physical examination and / or very standardized photos. However, in your case I would most likely recommend leaving the brow where it is.For the female brow the aesthetic goal is to position the brow at or up to 2cm above the supraorbital rim (bone). You have minimal to no signs of brow descent / ptosis and no signs of compensation with the muscles of your forehead. Furthermore brow lift adds expense, recovery time, and incisions that take time to heal.
The goal for your upper blepharoplasty will be to open up the eyes so that you appear more rested and content. I would recommend increasing the exposure of the tarsal plate to the aesthetic goal of 2-4 mm. You currently do have hooding of the eyelid that makes that number about 1 mm (distance from the eyelid margin to the overhanging skin. 
Good luck with your next steps!

Jag Chana, MD, FRCS(Plast) · Answer

Looking at your photographs it would appear you would be suitable for an upper blepharoplasty alone and probably a browlift is not needed. Your whole brow is not visiblke on the photographs and such issues are always best determined at consultation and after your surgeon has had a chance to examine you.

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For 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. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Nick Koutroumanos, MBBS · Answer

Certainly a good candidate for a bleph. Would stay away from a brow lift at this stage. Hope this helps.

Camille Cash, MD · Answer

Your photos indicate you are a good candidate for an upper blepharoplasty.  This will remove excess skin from the upper lids, improving the "hooded" look.  See a board certified plastic surgeon near you to learn more.  I've included a video on this topic that I hope you find helpful.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! It really depends on your goals and age. A brow lift is a procedure which can work well for many patients. The scarring can be an issue for some - especially if you're younger. Upper eyelids is not uncommon to address in patients in their 30s for improvement. This procedure is easier in my opinion and the results can be quite nice with minimal downtime. I would suggest doing the least invasive option before moving forward with something more aggressive. Hope this helps!

Would I be a good candidate for eyelid surgery or should I consider a brow lift? Concerned about drooping (photos)

Answers (6)

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