Will a Transblepharoplasty Sufficiently Lift the Brow? (photo)

Browlifting can be done in a variety of ways depending on the patient's age, skin thickness, and hairline.

In my opinion, the trans-blepharoplasty brow"lifts" help stablize and at best give a modest amount amount of lift. I offer this approach mainly in patients with very limited need, in males that need stabilization rather than aggressive lift, and in patients that really do need a lift but do not want the added incision [mainly to prevent additional descent after skin is removed from the eyelid]

From your photo [if this is in fact your postop photo after the first blepharoplasty], it would seem to me that you would do well with a blepharoplasty with some additional skin removal, but would do even better with a combination browlift [either endoscopic or hairline depending on your skin thickness] AND blepharoplasty.

Of course an in person analysis will help finalize your plan.

The brow/upper lid is a very complex and dynamic anatomic area. It is unfortunately impossible to give specific advice without examining your brow and eyes. Based on your video, you still have significant excess skin in your upper eyelids and drooping of the brows. Typically, patients require both an upper eyelid lift and browlift (of some variety) to improve these concerns. I've found the transbleph browlift to be best at raising the outer portion of the eyebrow but not changing the inner portion to a significant degree. I hope this information is helpful.