Is temporal eye lift the best option?

Question

Hello, I would like to fix my hooded eyelids. I want them a bit wider and lifted on the outer corners to achieve somewhat a cat eye look. One doctor told me that I have slight ptosis on one eye and should do ptosis correction, brow lift and also an incision made right beneath my eyebrow to lift the outer corners of my eyelids because I was told that the brow lift would not be enough since the eyebrow muscle is too strong and will pull my eyelids right back down. Suggestions on what to do?

Evan Ransom, MD, FACS · Answer

Thank you for the question and your photos. It does not appear that you have significant hooding of the upper eyelids. Also, your brow position looks appropriate. A temporal lift will change the angle of the brows, as you demonstrated very nicely in the second photo. This will change the look of your eyelids and upper face, giving it a more stylized appearance. If the browlift is done with release of the dense attachments along the lateral orbital rim, this should be adequate. I would not recommend making an incision below the brow as you described. Best of luck moving forward!

Robert Singer, MD · Answer

Based on photos but without an examination, a
combination of a subtle elevation of your low lateral brow and an upper lid
blepharoplasty will produce a more natural and better cosmetic result than
either one alone. The other option is a lateral brow lift alone. Keep in mind, that following the advice
from a surgeon on this or any other website who proposes to tell you what to do
without examining you, physically feeling the tissue, assessing your desired
outcome, taking a full medical history, and discussing the pros and cons of the
proposed operative procedure with you may not be in your best interest. I would
suggest you find a plastic surgeon certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are comfortable with.
You should discuss your concerns with that surgeon in person.  Robert Singer, MD FACS  La Jolla, California

Is temporal eye lift the best option?

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Is temporal eye lift the best option?

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