If the brow has dropped, removing eyelid skin alone can look unnatural or over-resected. A brow lift repositions the brow; blepharoplasty addresses eyelid skin/fat. We examine both and may recommend one or a staged combination.
Common options include endoscopic (small hidden incisions), temporal/lateral lift for the outer third of the brow, and open/coronal or pretrichial approaches in selected cases. We choose based on anatomy, hairline and goals.
Endoscopic: several short incisions hidden in the hair. Temporal: small incisions within the temporal hairline. Open/pretrichial: a longer incision along or just in front of the hairline when indicated. We plan for discretion and provide scar-care guidance.
Bruising and swelling peak at 48–72 hours and settle over 1–2 weeks. Many return to desk work in ~7–10 days. Avoid heavy lifting and strenuous exercise for ~2–3 weeks or as advised. Numbness along the scalp can occur and usually improves with time.
General: bleeding, infection, scars, asymmetry, hairline changes. Specific: temporary or rarely persistent numbness, brow position asymmetry, hair thinning at incision, nerve irritation/weakness, need for revision. Full consent is provided.
