Brows are so low, they almost touch my eyelids when I'm tired. Am I a good candidate for a brow lift or blepharoplasty? (photo)

Question

I'm 35 and just want my eyelids back and my brows to back up a few mm. And maybe to be the same height for symmetry's sake. Thanks!!

Jonathan Kulbersh, MD · Answer

You are in the perfect age range for a conservative, 1 cm-incision brow lift. The incision is made in the eyebrows themselves so it will be invisible when it heals. This lifts the lateral sides of your brows and will thus lift the eyelid skin, too. 
If you want a more dramatic change, then an endoscopic brow lift can be done by placing the incisions in the hairline. The asymmetry can be corrected with both procedures. You can discuss your options more during your consultation with a facial plastic surgeon. Either way, the brow lift should be sufficient at this point to resolve your drooping lids so you don’t have to undergo blepharoplasty. I hope this helps.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Jed H. Horowitz, MD, FACS · Answer

Hello ktdubBrow lifts are very versatile procedures which can be performed a number of ways to varying degrees. The outside (lateral) brow can be raised or the entire brow, depending on what is required. This is why it is so important to select a highly qualified surgeon to match your needs and goals with the right procedure.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon because you seem to be a candidate for both procedures.
Best wishes,

Hayley Brown, MD, FACS · Answer

You look like a great candidate for an endoscopic brow lift. This would raise your brows higher, while maintaining naturalness. Unfortunately there is no such thing as perfect symmetry, but I do feel you would benefit greatly from this procedure.

Todd Christopher Hobgood, MD · Answer

Thanks for your question! The only surgical procedure that addresses excess skin around the eye would be a blepharoplasty. Brow lifting will change the position of the natural brow. My best recommendation would be to sit down with a board-certified facial plastic surgeon to discuss your goals and for a professional assessment and recommendations. I hope this is helpful to you!Be well,Dr. Todd Hobgood, MD

Larry Lickstein, MD · Answer

Thank you for your questions and for providing pictures.  Your image shows that your brow is low and consequently there is skin that hoods over your eyelids.  That does not automatically mean that you should have a brow lift, as they are many examples of individuals with low brows who are thought to have iconic good looks (thing Brooke Shields or George Clooney).   But if you like your appearance when you manually hold your brow up, or if pictures show that when you were young your brows were higher, then you may be a great candidate for a brow lift, and different techniques could be discussed with your selected plastic surgeon.  If you look at pictures from high school or college and your brows were always somewhat low, then I would be more reluctant to consider a brow lift, as postoperatively you may think you look different or surprised.  In that instance, you could entertain a blepharoplasty.  I would encourage you to think about your goals and consider getting a formal consultation.  Best of luck as you consider your options.

Theodore Staahl, MD - Account Suspended · Answer

Looking at your picture you would be a great candidate for a browlift procedure.  This can be done endoscopically leaving very minimal incisional wounds which would be hidden within the hair on the scalp.  Patients often still have bruising and swelling, however there won't be visible incisions on the forehead or brow area.  I would recommend finding a board certified surgeon in your area and scheduling a consultation to go over your concerns.  Best of luck in your search!

Brows are so low, they almost touch my eyelids when I'm tired. Am I a good candidate for a brow lift or blepharoplasty? (photo)

Answers (8)

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