That varies with every patient. Some patients may only need a browlift, others may only need an upper blepharoplasty and others may need a combination of both depending on where their aging is.
Q: Should I have a browlift or an upper eyelift? What will give me a more rejuvenated look?
What our experts say:
This is one of the more frequent questions we are asked in our practice. When patients present requesting upper eyelid surgery, it is mandatory that the brow position be evaluated. The brow position markedly impacts the upper eyelid aesthetics, and simply addressing excess eyelid skin can lead to poor overall results. This is an oversimplification, but in general: 1) All eyelid patients should be evaluated for brow position. 2) If brow position is normal, isolated upper eyelid surgery will offer good, consistent results, and a rejuvenated look. 3) If brow position is low (the brooding look), isolated upper eyelid surgery will not improve the eyelid aesthetics, and can worsen the brow position by lowering it even further. In these cases, a combination of brow lifting and upper eyelid surgery, or isolated brow lift without eyelid surgery offers a better result. 4) If brow position is very high, isolated upper eyelid surgery can offer good, consistent results, and a rejuvenated look. However, use of an experienced, board certified plastic surgeon is very important in these cases because the incision placement in the upper eyelid can be very complex. Upper eyelid and brow rejuvenation are incredibly effective and safe procedures in both male and female patients. Upper eyelid procedures require incisions in the eyelid skin, while brow lift procedures are commonly done through incisions hidden in the hairline. Eyelid incisions are also “hidden” in the upper eyelid cleft between the eyelid and brow. Eyelid surgery is most commonly done under local anesthesia, while brow lift procedures are usually done with a twilight level of sedation.
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