Blepharoplasty?

I’m with you. The whole hairline thing freaks me out.

I have included my worse eye. My brow sits directly on my brow, not below. The arch is actually above it. Although it has dropped according to the doc, I really wasn’t aware of it. When they are pulled up, it really seems too high.

I don’t know if you can enlarge this avatar…I have makeup on which helps a little. But you can see where it’s folding over on itself. The crinkles aren’t as noticeable in the pic, as that second layer of skin under the fold.

Glad I wasn’t the only one sort of freaking out about cutting the scalp.

I would really love @yohohoho opinion. Could I get by with just a blepharoplasty?

I read an article that said one usually can if they are more full hooded in their 20’s and 30’s, which I was…father was Hispanic and had no eyelid you could see. If that is the case, then taking away extra skin would probably not pull the brow down further.

Oh, and sometimes the fold actually covers any lid showing to the side. This is actually a good pic!

My friend had a hairline brow lift and I can see the scar at her hairline, a very faint white line. She has bangs to hide it but if her hair is blowing back in the wind, you can see that faint line and there’s no hair covering it. I have read some surgeons suggest treating it with rogaine or with hair transplant. I know treatment with rogaine is long term, whenever you stop, the hair will fall out.
If you are happy with the position of your brow, think hard before doing a brow lift.
Keep us posted as my eyes look almost the same as yours. I do have excess skin in my upper lids and I also have a bit of orbital fat loss there as well.

I’ve been reading more and more about the full brow lift and don’t plan on having it done. I also read it’s becoming the least desirable compared to the endoscopic or lateral. The stories I read about recovery are brutal, as well as this type of surgery has a high percentage of hair loss, too. I’m already suffering too much of that.

I read the lateral is just two incisions about an inch long behind the temples. This only effects the outer edges of the brow, not the middle. Recovery is much less of course, but the lasting effect is not as long. I read you can also have hair loss around that incision. Just a lot to think about and I’m not doing anything in a rush. I’m do know I want to talk to another oculo doc. Very disappointing to find out I’m not doing anything soon.

The one my friend had was an endoscopic brow lift.She had an incision in middle at her hairline. She said it would only last 7-10 years.

Oh…I thought those were done above the hairline. 7-10 years sure doesn’t sound very long, does it, to go through something like that? I’m just tired of the sad look when you see both my eyes. It really happened quite suddenly…two years for that \ line to appear. I’m sure it was edging down year by year, but it seems it just plopped over one night.

A) Your brows and your eyes are gorgeous.

B) I don’t think you need anything, frankly, but I can see why that fold on the outer part of your lid is annoying. Very difficult to make up. And maybe it gives you a bit of a frowny look.

C) If you do anything, just do the bleph. (In your case, it is a little difficult for me to imagine how the scar will be hidden in the crease.)

D) You would be horrified if you saw what my eyes were like, LOL.

You know I was thinking the same thing - I see nothing wrong with your eyelids. And you have a strong eyebrow which really frames your eyes beautifully.

I was 54 when I did mine. My mom had her s approved by Medicare, as hers were a third closed. My dad had the excess skin. I just did the blepharospasm, though doctor mentioned the eyebrow lift. I have never been sorry. I was back at work within a week. The doctor I worked with came to hospital with sunglasses, and still had the stitches showing. She showed all of us. She answered lots of questions, so I felt relaxed going into the surgery.

Consolation and Harvestmoon, I appreciate your kind compliments. I honestly have never considered my eyes that attractive, they are actually fairly small for my face. The one eye doesn’t look bad alone. But if you saw both, the sad eye look seems more pronounced.

I was also wondering how it would be fixed…what would be cut on the eyelid to get rid of the crease, how it would be done, and where the scar would be. That is when he said a brow lift. When you do slightly lift my brow, most of it does go away. But I’m sure this is the case for thousands of people who just have the blepharoplasty alone.

DH says to go see the other oculopastic surgeon again that I trusted to get his opinion. I think I will.

From things I read, if you have a bleph when you really need a brow lift, then you might pull your brow down even further. That is because you don’t really have excess skin…but a lowered brow. By taking away the skin, you pull the brow down. But wouldn’t that happen with everyone who is part 50? All of our faces drop after a certain age. I find this so confusing.

DH said I shoukd have asked the doc yesterday why he didn’t recommend it last year. I always feel like I’m putting them on the defensive with those types of questions…but I guess I did pay $100 for the condult so should have. He thinks it’s just to get more money. I wondered that myself.

I doubt the doctor recommended the brow lift just to get more money, but I am curious about the costs if you are willing to share. Were you given quotes for the bleph v brow lift?

The bleph alone is $3,500. The brow lift alone is about the same. If done together there is a $1,000 decrease due to discount and only one anasthesialogist.

Here is a picture of a computer generated upper blepharoplasty (only bleph) that a plastic surgeon did last year. This is what my eyes used to look like. Notice no drooping folds at corner, creases or extra skin. Now, this is just computer generated, but could a surgeon actually do this? Not sure. However, this is what I’m after. He did another one with a brow lift, but I didn’t like the look.

I’m sure they could do that. I’m just wondering because you don’t seem to have any crease in the inner half of your eye. Maybe they wouldn’t have to touch that area.

Picture back to my droopy eye. Not sure by what you mean no crease. I have a small, narrow eyelid…the platform I think is what it is called. There is a crease all along the top of the platform. Not sure if you mean something else? Oh… Do you mean that droopy foldvis just in outer eye, not inner eye?

I’m surprised about the brow droop prediction. I thought that, when you have that extra skin, they simply remove the excess, one little pinch, so to say. Isn’t that why, in the past, when some had to much skin removed, they got a wide-eyed look?

Btw, my specialist said forehead Botox can relax the brow and let it droop.

The wide eyed look, or hollow is maybe what you mean,mis because too much tissue was removed. At one point in time that must have been considered nice looking. Then they realized youthful looks mean fuller lids…so now they generally leave as much tissue and fat as they can.

I think what this surgeon is saying is that if the droppyness is caused by just excess skin, then removing the skin wouldn’t do anything to the brows. However if it’s not excess skin, but a droopy brow causing the \ in my lid, removing the skin could pull the brow further down. That is how I’m understanding it anyway.

I’m going to talk to another to get his opinion on this.

Hi @conmama,
Thanks for posting the photo of your eye. I do respect Nunery very much. However, keep in mind that in surgery, there is always more than one way to skin a cat, and different surgeons will have different opinions.

From my oculoplastics vantage point, when I look at your photo, I think that you will do just fine with a blepharoplasty alone without a brow lift. Your brow is in a good position and the blepharoplasty will address the “triple fold” that you have laterally. Also, since you are anxious about surgery, then a less and smaller approach to surgery would be a better fit for you. Additionally, because celebrities use botox these days, which lowers their brows, a lower brow is more fashionable these days than a super high brow; although, again, your brow position is fine; it is not too high nor too low. So my recommendation would be to do the upper bleph to smooth out the fold and crease for now. You could always do a brow lift if you so desired in the future.

FYI the “wide eyed look” or “surprised look” comes from an overaggressive brow lift and not from a blepharoplasty.

@YoHoYoHo …thank you so much! I was really hoping to get your professional opinion. I spent yesterday looking at old photos and I just don’t see where my brow has descended. I’m sure it has a mm or so, but I won’t do a brow lift, so I was worried if it would do any good to just have a bleph. WN said there’s a chance the brow would keep descending and I’d have the same problem down the road. Maybe…but if I could buy a decade or two, why not?

I’m going to the other in oculopladtic surgeon Burgett, do you remember me speaking of him? I want his opinion. Last year he just showed me where he’d cut…the excess skin when I closed my eyes. Never mentioned lower bleph which I don’t want right now either. I have to cover the blue line, but it’s really not bad. I don’t have bags.

Again, I do appreciate your professional opinion and feel like I can forge ahead right now. I felt WN was an overly aggressive approach, it was just a gut feeling. Obviously this is not my expertise in the least. Just going my tons of pictures I’ve seen.

Could this upper bleph lower the position of my brow…pull it down? He didn’t tell me that, I read it on the Internet.

@conmama,
Your extra fold and cease is due to fat atrophy of the brow far pad. When the skin gets redraped and fixated into place, it’ll will help with the extra fold and crease and will improve the crepy skin between your lashes and your crease. You brow should not pull down. It usually pulls down when people have a true brow ptosis that they are trying to repair with a bleph alone.