Endoscopic brow lift or Asian eyelid surgery/blepharoplasty? (Photo)

Question

Can't decide. My eyelids are double and measure around 5-6mm but th skin and fat on top make my eyes look smaller. I also look quite tired and angry which made me speculate maybe a brow lift could be the answer. I get around 25-30 units of Botox in between my brows but it doesn't seem to reduce the angry/tired look. What to do?

Goretti Ho Taghva, MD, FACS · Answer

Hello lanalang83, thank you for your question and for sharing your photo. In my practice, I perform a lot of Asian blepharoplasty and endoscopic brow lift procedures.  Both surgeries can improve periorbital aesthetics but the indications are different.  From your photo, I think you would benefit more from a blepharoplasty rather than a brow lift.  Your eyebrows appear to be in good position and raising them more might make you appear more "angry" and may not give you the result you are looking for.  Also, botox injections can often times make your glabella appear heavier and may accentuate your angry/tired appearance.  Most people think Botox can lift your eyebrows but injection to the glabella and forehead actually produces the opposite effect. Hope that helps with your decision.  Good luck!Goretti H. Taghva MD

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 to discuss your candidacy, and to develop a treatment plan.
Best wishes,

Shahriar Mabourakh, MD, FACS · Answer

Asian eye repair would improve the appearance of the upper eyelids. The procedure would lengthen the upper eyelid crease and may help answer some of your concerns. Brow position is difficult to assess with only one photo. Prior to considering a brow lift try using Botox over the crows feet area which would help elevate the brows, if you like the improvement then consider proceeding with a brow lift.

Toby Mayer, MD · Answer

Your brow position looks good in the 1 photo--therefore, an upper blepharoplasty may or may not be indicated. See an experienced Facial Plastic Surgeon or plastic surgeon for an examination.

Michael J. Yaremchuk, MD (license resigned) · Answer

A browlift, in my opinion, would be detrimental to your
appearance. The aesthetic goal of brow-lift surgery should be restoration of youthful brow shape and position, not elevation perse.

Endoscopic brow lift or Asian eyelid surgery/blepharoplasty? (Photo)

Answers (10)

Answer: Browlift or upper blepharoplasty?

Answer: Browlift or upper blepharoplasty?

Answer: Browlift

Answer: Browlift

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Endoscopic brow lift or Asian eyelid surgery/blepharoplasty? (Photo)

Answers (10)

Answer: Browlift or upper blepharoplasty?

Answer: Browlift or upper blepharoplasty?

Answer: Browlift

Answer: Browlift

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Recommended reading

Everything you need to know about Brow Lift

Our mission is to create a world where every investment in modern beauty is Worth It.