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Category: Brow Lift Surgery

Do I Need a Brow Lift or Blepharoplasty?

Many plastic surgery procedures and treatments have been devised to rejuvenate the upper face. The forehead and eye area are prone to developing wrinkles and sagging skin that can contribute to an aging, tired, and sad appearance. If it is time for you to take the plunge for facial rejuvenation, you may be wondering whether you would benefit from a brow lift or blepharoplasty. For a quick summary, if you feel you look “tired,” you are more likely a candidate for upper blepharoplasty. If you are asked if you are “angry,” you may be more of a candidate for a brow lift. The following indicators will help you understand which procedure you need (or whether you may need both) to achieve the most desirable aesthetic outcome.

eyelid patient by dr. pearlman

Brow Lift Surgery

Brow lift surgery is a procedure that rejuvenates the upper face by addressing forehead wrinkles and sagging brows. Using either an endoscopic approach or a modification of the traditional coronal lift technique, Dr. Pearlman elevates the forehead and the brows to rejuvenate their appearance. Dr. Pearlman recognizes the general differences in male and female eyebrows and is careful to raise them appropriately when performing brow lift surgery. As a result of this surgery, the forehead will lie smoother and the brows will appear more lifted and natural. Brow lift surgery often eliminates upper face wrinkles and can correct upper eyelid hooding that was caused by sagging brows.

Candidates for Brow Lift Surgery

If the overhang or hooding of your upper eyelids extends beyond the corner of your eyes, then you are certainly more of a candidate for a brow lift. Another indicator is the shape of your eyebrows; if they are flat or the tail is even lower than the central part of the brow, a brow lift will help restore a youthful arch. A candidate for a brow lift will have experienced a distinct drop in the forehead over time and flattening of the arch that has led to sagging brows. If sagging brows have also led to upper eyelid hooding, a brow lift will be able to reverse it. If you look back at an old photograph of yourself and see that the position of your eyebrows has changed over time, you may be a good candidate for this procedure. You may also be a candidate if you have severe wrinkles on your forehead and brow area.


Blepharoplasty (eyelid surgery) is a procedure that rejuvenates the upper face by addressing excess skin and fat in the upper and lower eyelids. The procedure is often separated into upper or lower blepharoplasty, though many patients undergo both at the same time. The surgeon surgically removes excess skin and fat and adjusts the muscle tissue to restore a more youthful appearance to the eyes. Blepharoplasty can restore full sightlines by removing excess upper eyelid skin in severe cases and can reduce fine lines and puffiness in the upper and lower eyelids.

Candidates for Blepharoplasty

A candidate for blepharoplasty will have sagging, excess skin in the upper and/or lower eyelids, usually accompanied by excess fat. Candidates may have prominent upper eyelid hooding that partially blocks their visual field. Bags beneath the eyes, typically caused by pockets of fat, may also be a symptom of aging experienced by blepharoplasty candidates. An old photograph of yourself will reveal whether the position of your eyebrows has changed over time; if it has not but you still have upper eyelid hooding, you may be a good candidate for blepharoplasty.

Candidates for a Combined Brow Lift With Blepharoplasty

Some people identify as candidates for both brow lift surgery and eyelid surgery. When appropriate, it can be beneficial to undergo both procedures. Most often, candidates will get a brow lift with an upper blepharoplasty. For example, a candidate who has pronounced upper eyelid hooding due to a combination of excess upper eyelid skin and sagging brows will benefit most from undergoing both surgeries. Candidates for both procedures may have “tired eyes” as well as an angry appearance due to drooping eyebrows. If you have notably sagging brows, forehead wrinkles, sagging upper and/or lower eyelids, and puffiness or bulging around your eyes, a combined brow lift with blepharoplasty can give you a more youthful and rested appearance.

Non-surgical Brow Lift

There are a number of ways to non-surgically raise the eyebrow. BOTOX® Cosmetic can relax the muscles that pull the corner of the brow down. This loss of resting tone can lead to a nice elevation of the brow. Since it is an indirect effect, we cannot tell in advance who will get the best results from this treatment. Some patients look like they have had surgical brow lifts, and others only subtle changes. We can also use Ultherapy® to raise the brows in some patients.

To find out if you are a good candidate for brow lift, blepharoplasty, or both, please come in for a personal evaluation. Our phone number is 212-223- 8300.

Why the Endoscopic Brow Lift Has Replaced the Coronal Brow Lift

Forehead rejuvenation surgery can restore a youthful appearance to the upper face. Using strategic planning, careful technique, and a natural eye for detail, Dr. Steven Pearlman can perform a brow lift to correct issues such as a drooping brow, furrowed brow, forehead wrinkles, and sagging brows that contribute to eyelid hooding. While the coronal brow lift technique is the traditional surgical approach, Dr. Pearlman prefers the endoscopic technique for brow lift surgery because it is less invasive and offers several clear advantages.

Brow Lift Before and After Photos

The Downsides of the Coronal Brow Lift Approach

The coronal brow lift is the traditional or classic brow lift technique. In this surgical approach, an incision is placed at the top of one ear behind the hairline that extends up and over to the other ear. Through this incision, the surgeon has unobstructed access to the underlying tissues and can elevate the entire forehead from above. However, a significant downside of this technical approach is that the incision is extensive. Even though the incision is hidden in the hairline, scarring can be prominent. The length of the incision also poses a greater risk of loss of sensation and loss of hair at the incision site as compared to the endoscopic brow lift technique. Finally, the invasiveness of the coronal brow lift leads to a longer recovery period than that of the minimal incision endoscopic approach.

The Advantages of Endoscopic Brow Lift Surgery

Endoscopic brow lift surgery, also called a minimal incision brow lift, allows the entire procedure to be performed with just a few minor incisions. In this surgical approach, four or five tiny incisions are placed behind the hairline, and through these incisions, an endoscope and surgical tools can be inserted to perform the procedure. The endoscope is essentially a thin telescope that gives the surgeon a visual of the internal tissues without requiring long incisions. The endoscope and surgical tools can be inserted into the minor incisions to surgically lift the brow and forehead. Not only does this technique have minimal loss of sensation and hair, it also has reduced scarring and a shorter recovery period compared to the traditional technique. The endoscopic brow lift can also be combined with a mid facelift to lift sagging cheeks. Due to its many advantages, the endoscopic brow lift has replaced the coronal brow lift in many surgeons’ practices, including Dr. Pearlman’s.

Dual board-certified plastic surgeon Dr. Steven Pearlman can perform brow lift surgery to restore youthful beauty and definition to your upper face. To request your personal consultation with Dr. Pearlman, please call (212) 223-8300 or complete our online contact form today.

Facial Rejuvenation Surgeries

Facelift Before and After PhotosThere are a variety of types of facial rejuvenation treatments and procedures. While non-surgical methods can be incredibly effective, in many cases, surgical methods prove to be the better approach and may produce better results. If your face has begun to show signs of aging such as sagging skin, fine lines, wrinkles, and folds, the following facial rejuvenation surgeries can help you achieve a more refreshed and youthful appearance.

Facelift Surgery

Facelift surgery can improve many signs of facial aging in the mid face, lower face, and even the neck. Various techniques including the mini-facelift, mid-face lift, deep plane facelift, neck liposuction, and Ultherapy® can correct the following issues:

  • Jowls
  • Sagging facial tissue
  • Turkey neck
  • Descending cheeks
  • Nasolabial folds
  • Wrinkles and lines in the mid and lower face

Dr. Pearlman can help you determine which facelift approach you need and whether you should combine your facelift with other procedures for more complete facial rejuvenation.

Silhouette InstaLift™

The Silhouette InstaLift™ is a minimally invasive surgical procedure that can lift the deeper layers of the facial skin to rejuvenate your appearance. The surgeon uses sutures with bidirectional cones to elevate and reposition the skin on your face. Over time, your body naturally absorbs the sutures and stimulates more collagen to improve skin quality.

Brow Lift Surgery

Brow lift surgery can lift and tighten the tissues of the upper face. This surgical approach corrects horizontal forehead lines, drooping brows, and brow furrows, and it may also improve upper eyelid hooding in some cases. Certain techniques can also elevate sagging cheeks. Patients who need a brow lift may feel that they look continually angry, sad, or tired. After the procedure, your forehead and brow area will appear lifted and smooth, erasing the negative expression that previously marred your appearance.


Another facial rejuvenation surgery is blepharoplasty, more commonly called eyelid surgery. This procedure can correct sagging eyelids and displaced fat in the areas around the eyes. Patients can receive upper blepharoplasty, lower blepharoplasty, or both to fully rejuvenate the tissues around the eyes. The surgeon will adjust the muscle tissue, eliminate excess skin and upper eyelid hooding that may impair vision, soften fine lines, redistribute fat tissue, and reduce puffiness and bags around the eyes.

Each of these surgical procedures can be performed alone or may be combined with other procedures for complete facial rejuvenation. During your confidential, personal consultation, Dr. Pearlman can recommend which procedures will best help you achieve your aesthetic goals and desires.
Dr. Pearlman offers facial rejuvenation surgeries and many other plastic surgery procedures to enhance the appearance and rejuvenate the face and body. If you would like to learn more, please call (212) 223-8300 or fill out our online contact form to request your consultation today.

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