Brow lift or upper bleph? (Photo)

Saw the surgeon today for a facelift consult. He recommended a brow lift but said I'd have to wear bangs for a year to hide the incision. have baby fine very thin hair. Bangs don't work. He didn't want to do a higher incision as it would make my forehead bigger. He settled on an upper bleph. I'm worried it's not going to look as good and could change the shape of my eyes. Any thoughts on the pros/cons of each?

Doctor Answers 13

Irregular Trichophytjc Forehead Lift for sad eyes.

Irregular Trichophytjc Forehead Lift for sad eyes.This is a procedure we developed 35 years ago to raise the brows and lower the hairline if needed. Hair grows thru the scar and it is not seen and you do not need bangs. See a very experienced surgeon who does this technique and look at his results and hairlines.


Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

Brow lift of upper bleph?

If you are relaxed in the photograph, your brows appear to be in a good position.  A blepharoplasty would be a much better option.  I hope you find this information helpful.

Thomas Hubbard, MD, FACS
Virginia Beach Plastic Surgeon
4.9 out of 5 stars 32 reviews

Browlift or upper blepharoplasty?

I am a big advocate for a prehairline browlift in appropriate candidates usually telling them that the incision fades from visibility after approximately six weeks.  In your case however I do not think you are a candidate for browlift since your eyebrow position in the photograph is quite good.  A blepharoplasty would be my first choice for you.  I do find however that some patients raise their brows as they take a photograph and so this may be misleading but if the picture is accurate no browlift is necessary.  Best wishes and good luck.

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 30 reviews

Brow lift with upper blepharoplasty

I would recommend an upper blepharoplasty with an brow suspension, which is done through the upper eyelid incision. Your brows seem to be in a good position and they can fall with upper blepharoplasty alone.  A brow suspension will prevent this.  This could be a good option if you have a high hairline and thin hair. 

Raj P. TerKonda, MD, FACS
Beverly Hills Facial Plastic Surgeon

Brow lift or upper blepharoplasty

From the one limited photograph, it appears that the eyebrows are in a good position, therefore a brow lift is not necessary. To rejuvenate the  Eyelids requires an upper blepharoplasty procedure which removes the hooded and excess skin. For more information and many  before and after examples of both procedures, please see link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Brow Lift of Upper Blepharoplasty

Based solely on this picture I do not think you need a brow lift but I may change my mind after seeing a picture of your full face. If you do decide to have a brow lift consider the Irregular Trichophytic Hairline Incision technique that we described many years ago. With this approach your hairline position can be maintained or changed depending on your needs. Hair will grow through and in front of the incision so you have total freedom of hair styling.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Brow lift or upper blepharoplasty?

For many people, a brow lift or an upper blepharoplasty could both provide improvement.  In your case, it appears to me that your brows are in fairly good position, so I would recommend an upper blepharoplasty.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Upper eye bleph

Based on this photo, your brow seems to be in a good position.  So doing just an upper eyelid bleph should remove the excess skin and open up your eyes.  You can always do a browlift later on if you decide the brow should be higher.  

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 25 reviews

Brow lift or upper bleph?

This is not a decision we can make based on a single photo. If your forehead is truly at rest in the photo, then a conservative upper blepharoplasty will do the trick. Your brows look to be in a reasonable position on the photo. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 reviews

Eyelid Surgery

Thank you for your question. The recommended procedure depends on your goals and desires. Your forehead and brows seem well-rested in your picture so I assume that a blepharoplasty would be more fitting for you. It can address puffy, tired or sagging eyelids, natural signs of aging which unfortunately convey emotions that are not reflective of how you actually feel. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 95 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.