Brow Lift vs. Eyelid Lift: Which Makes the Most Difference?

Are you ready to do something about those forehead lines and sagging eyelids, but you’re not sure if you need a brow lift or eyelid lift. Aging in the upper face is marked by wrinkles in the forehead and eye area that can give you a sad, tired look, but a brow lift and eyelid lift can both rejuvenate the upper face. But how can you tell which one makes the most difference.

What does a brow lift do?

Brow lift surgery is done to address forehead wrinkles caused by sagging brows. Over time the brows may descend and push the eyelid skin downward, and when this happens, frown lines and droopy upper eyelids are often the result. Very heavy brows can also affect eyelid function and interfere with vision. A brow lift elevates the brows, and restores their natural position.

Brow lift surgery

A brow lift can be performed using a variety of techniques. The endoscopic brow lift and the direct brow lift are two of the most common options.

In the last few years, the endoscopic brow lift has become the method of choice for rejuvenating the upper face. Surgery is done with the assistance of an endoscope, which is a medical instrument with a very tiny camera that helps the surgeon view the internal tissues during the operation. The incisions for the endoscopic brow lift are made in the hairline, so there is no visible scarring.

A direct eyebrow lift is another approach for lifting the brows, but the incisions are made just above the eyebrow, so the scars are not easily discernible.

Brow lift surgery is an outpatient procedure performed under mild anesthesia. During the operation the surgeon will lift and tighten the skin above the eyes.

What does an eyelid lift do?

An eyelid lift (blepharoplasty) is done to rejuvenate the eyelids. This is achieved by removing excess skin and fat. Eyelid surgery refreshes the face and gives the eyes a more open, alert appearance. Refreshing the eyelids also makes the face look more youthful.

Eyelid surgery

Eyelid surgery may be done on either the upper or lower eyelids, or on both. Upper eyelid surgery removes excess skin that can weigh down the eyelids and cause them to droop, and it also takes out excess fat to reduce puffiness.

Upper eyelid surgery is an outpatient procedure that is performed under light sedation, and takes about 1 hour to complete. The incisions are made in the natural crease of the upper eyelids.

Lower eyelid surgery corrects bags below the eyes. Undereye bags are often the result of aging and the bulging of fat pads beneath the eyes. Lower eyelid surgery removes or relocates the excess fat as required. The incisions for the lower eyelid lift may be made just under the lash line of the lower eyelids, or on the inside of the lower eyelids.

There is normally some moderate bruising and swelling after an eyelid lift, and this can last for up to 5 days.

Which makes the most difference?

A brow lift and eyelid lift can both fix aging in the upper face, but the one that makes the most difference will be determined by the specific issues that need to be corrected. During consultation the plastic surgeon will assess whether the issues being experienced lie with the brows, or the eyelids.

In cases where aging in the upper face is caused by the descent of the brow only, a brow lift may be all that’s needed to rejuvenate the forehead and eye area. However if sagging around the eyes is the result of too much skin on the upper eyelids, and the position of the brow has not changed, an eyelid lift may be recommended.

Some patients may need a combined brow lift and eyelid lift, in order to achieve their aesthetic goals.

If you are in the Philadelphia or Plymouth Meeting, PA areas, contact The Pennsylvania Centre for Plastic Surgery for more information on a brow lift and eyelid lift.

Call (267) 463-4110 today to set up a consultation with board certified plastic surgeon Dr. Scott Brenman.

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