Blepharoplasty with brow lift

Why this combination is so common

The upper face has two structural problems with age that produce similar-looking complaints:

• Brow descent — the brow has fallen, pushing tissue down over the upper lid
• Upper lid skin redundancy — the lid skin itself has loosened

Both produce the "heavy upper eye" appearance. The brow test (described in hooded upper lids) distinguishes which is dominant — but in many patients, both are present.

Operating on upper bleph alone in a patient who has significant brow descent typically produces a "pulled" or "starved" look without truly addressing the heaviness. Brow lift alone in a patient who has true skin redundancy doesn't fully resolve the heaviness either. Combined: each addresses its component.

Combined recovery

Brow lift adds ~1 week to the visible recovery. Bruising extends to the forehead and temples. Most patients are presentable at 2–3 weeks post-op. Final result at 3–6 months.

Frequently asked questions