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Question: Would a forehead liftmake my eyelids look less droopy?
Answer: A forehead or brow lift would definitely make your eyelids look less droopy. When assessing a patient for peri-orbital rejuvenation, the first place a plastic surgeon looks is at the brow position. If there is drooping or ptosis of the eyebrows, then elevation of the brows will open up the eyes and give a more youthful and refreshed appearance. Lifting the brow will also actually tighten the upper lid skin to some degree. As is often the case, if there is still significant excess upper lid skin, then an upper blepharoplasty (eyelid lift) should be performed as well. These procedures are also often combined with a lower blepharoplasty, which will remove the bags under the eyes and smooth the wrinkled skin.
Question: When I use my fingers to raise the skin on my forehead, it doesn’t seem to do anything for my upper eyelids. It does make my forehead look better. Does this mean that I really need the forehead lift and the eyelid lift together?
Answer: That’s a pretty good indication that you do. The aesthetics of the upper third of the face have to do with brow position, excess eyelid skin and prominent eyelid fat among other factors. As far as the forehead and upper lids, elevating the brow to an appropriate position is crucial to giving a rejuvenated and refreshed appearance. Once that has been established, if there is still excess skin at the upper lids with an overhanging fold, then the eyelid lift would also be indicated. Most patients who desire rejuvenation of the upper face, and who have significant brow ptosis(drooping) will benefit from an upper blepharoplasty in addition to the brow lift, to optimize their surgical result and produce the most refreshed and youthful appearance.