Dr. Matheson Harris: "Do I need both, blepharoplasty eyelid surgery and brow lift surgery, or could one procedure take care of both problems?"

First of all, we need to look at the neural position of both the eyebrows, and the eyelids. In a female face, the eyebrows are normally one centimeter above the edge of the brow bone, with a nice arch. A male brow is right at the bone edge, and is more flat in shape. Over time, the brows descend, pushing the skin down with them, and blocking our superior vision. The normal position of the eyelids, when open, is about one millimeter onto the cornea or covering the colored part of your eye. If the eyelid margin or the adjacent skin are below this point, they are sagging, and may need to be lifted.

The goal of surgery is to both open up your peripheral vision, and to have a nice cosmetic result. If the brows are in good position or have only minimally come down, but the eyelids are droopy, eyelid surgery may be all you need. If the brows are also droopy, but only eyelid surgery is performed, the brows may come down further, and the facial proportions will appear unnatural. The best option is usually a brow lift, followed by a simultaneous eyelid surgery. This allows us to get the brows and eyelids in their most ideal position, to allow you to see better, and have a normal cosmetic result.

Brow Lift vs. Forehead Lift in Males and Females

Dr. Matheson Harris discusses the facial anatomy of males and females and what procedure is recommended to lift the eyebrows.