Eyelid Lift or Brow Lift: Which Do I Need?

Eyelid Lift and Brow Lift, Wyomissing, PA

Woman looking up in the air with her finger on her head (thinking)(Aging, sun exposure, and repetitive muscle movements tend to cause wrinkles and loose skin in the upper face. Drooping tissues can hang over the eyes and impair vision, and creases in the skin can make a person appear mad, sad, or tired even if they aren’t feeling that way. People with aging in their forehead and eye areas sometimes wonder which plastic surgery procedure is ideal for rejuvenating their appearance. Here is information to help determine whether an eyelid lift or a brow lift will best improve your appearance or if perhaps BOTOX® is the right choice for you.


Eyelid Lift

Eyelid lift surgery, also known as “blepharoplasty,” removes stretched skin and repositions or removes fatty tissue to create a more defined and rejuvenated eye appearance. It can be performed on the upper eyelids, lower eyelids, or both. Upper blepharoplasty uses an incision along the natural crease of the lid, and lower blepharoplasty may use an incision just below the lower lashes or a transconjunctival incision within the lower eyelid.

Blepharoplasty is ideal for correcting the following:

  • Loose, sagging skin on the upper or lower eyelids
  • Folds on the upper lids
  • Puffiness in the upper lids
  • “Bags” in the lower lids
  • “Crepe-paper skin” below the eyes
  • Drooping lower eyelids that pull the skin down and reveal white below the iris


Brow Lift

When it’s the actual eyebrows that hang down and hood the eyes, a brow lift, or “forehead lift,” is needed. Dr. Schlechter generally uses the endoscopic technique for his forehead lift patients, which employs a surgical video device called an endoscope and other surgical instruments inserted through small incisions along the hairline. Through these small incisions, Dr. Schlechter can tighten loose skin and adjust the underlying muscles that contribute to frown lines. Dr. Schlechter also performs coronal, temporal, trans-palpebral, and suprabrow lift techniques. Dr. Schlechter will determine the best technique to improve your unique condition during your consultation.

Brow lift surgery is ideal for correcting the following:

  • Horizontal lines across the forehead
  • Deep vertical furrows between the brows (“frown lines”)
  • Loose skin on the forehead
  • Low-hanging brows



BOTOX® Cosmetic is a neurotoxin formula that is injected into the muscles that cause fine lines and moderate to severe wrinkles, and it can give a little bit of lift to the brow area. This option is not for those with significant sagging in the upper face, and results generally last three to four months, so repeat treatments are needed to maintain results. BOTOX® injections are ideal for those who want quick rejuvenation without the risks and downtime associated with surgery.

BOTOX® Cosmetic is ideal for correcting the following:

  • Vertical furrows between the brows (“frown lines”)
  • Fine lines at the outer corners of the eyes (“crow’s feet”)


Combining Procedures

Dr. Schlechter recommends that his surgical patients receive BOTOX® treatment a month in advance of brow lift surgery to ensure their muscles are relaxed for the procedure. If needed, Dr. Schlechter may recommend that brow lift surgery and eyelid lift surgery be performed together to achieve complete facial rejuvenation.

If you would like to rejuvenate your facial appearance, please call (610) 678-9200 or fill out our online contact form to schedule your complimentary consultation with our board-certified plastic surgeon, Dr. Benjamin Schlechter. During your consultation, Dr. Schlechter will evaluate your needs and desires to determine the best procedure(s) to meet your goals.

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Benjamin Schlechter M.D.
2603 Keiser Blvd Suite 207
Wyomissing PA 19610
(610) 678-9200

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