Blepharoplasty or Brow Lift for Sagging Eyelids?

Written by Dr. Allan Wulc
On May 31, 2024

So, you’re looking in the mirror and once again feel frustrated with the ongoing changes around your eyes. Whether it’s the increasing wrinkles, drooping of the upper eyelids, or feelings of eyelid heaviness that may even be disrupting your vision, you have decided it is finally time for a change.

You seek out recommendations from respected cosmetic surgeons in the area, but their conflicting input has left you asking one major question:

Will a blepharoplasty (eyelid surgery), brow lift, or both be the right option for me?


Real Patient


Good News: You’ve come to the right place! But first, here are four simple questions to help you figure out if you are experiencing sagging eyelids.

Using a mirror and a photo of yourself from 10+ years ago, answer these questions:

  1. Do your eyebrows appear to sit lower than they did 10-15 years ago?
  2. Have you noticed the diminishing visibility of the crease in your upper eyelids?
  3. Are you seeing horizontal furrows above your eyebrows?
  4. When your eyebrows are completely relaxed, do they sit below the orbital bone (or eye socket)?

If you’ve answered “yes” to any of these questions, you will want to keep reading to determine the best approach to addressing your sagging eyelids.

What causes sagging eyelids?

Skin excess occurs due to stretched skin. This can be the result of squinting, sun, other environmental elements, and the most unrelenting of them all – time.

Eyelid drooping, however, can occur due to changes in the muscle or tendon that attaches the eyelid muscles to the lids themselves. These issues can often be addressed with a brow lift, blepharoplasty, or a combination of both – so let’s briefly explore the two procedures.

How to treat sagging eyelids with a brow lift:

Over time, the muscle that lifts the brow and supports raising your eyelids will have to work excessively to compensate for drooping and sagging skin. In the meantime, you will find yourself battling a more aged appearance.

A brow lift, also known as a forehead lift, aims to restore the position of the eyebrows to their natural state. By lifting the brows, excess skin in the upper eyelids can also be addressed.

How to treat sagging eyelids with a blepharoplasty:

Alternatively, blepharoplasty focuses specifically on the eyelids. This surgical procedure targets excess skin, muscle, and fat in the upper and lower eyelids. By removing or repositioning these tissues, blepharoplasty can correct drooping eyelids and reduce puffiness, resulting in a more youthful and refreshed look.

While blepharoplasty primarily addresses eyelid concerns, it’s crucial to consider the position of the eyebrows. In cases where brow descent contributes to eyelid sagging, combining blepharoplasty with a brow lift should influence the surgeon’s choice of procedure.

The most common question I hear in my practice regarding this situation is:

“Can I get away with just an upper blepharoplasty and skip the brow lift?”

The answer is, sort of…

When there is a strenuous objection to fixing the brows, a surgeon can opt to postpone the brow lift. A surgeon will accomplish this by pulling the brows up to a natural, less low position and then deciding how much skin to safely take such that enough skin is left to maintain a natural look that won’t pull the brows down.

Alternately, a well-done brow lift will put the brows back where they were when you were younger. It will not make you look surprised. It will not leave you looking angered. It is a restorative, repositioning, and reshaping procedure.

Which Treatment Would Work Best for Me?

Determining the most suitable treatment depends on various factors, including your unique anatomy, aesthetic goals, and the extent of sagging. During a comprehensive consultation, Dr. Allan Wulc will evaluate your condition and recommend the most appropriate approach.

For individuals with significant brow descent and eyelid aging, a combined brow lift and blepharoplasty may be recommended to comprehensively address sagging around the eyes. However, for those with isolated eyelid concerns, blepharoplasty alone may suffice.

Dr. Wulc’s Approach: Choose Expertise & Artistry

Dr. Allan Wulc is renowned for his individualized approach and artistry in facial rejuvenation. With his expertise, you can expect personalized attention and tailored solutions to achieve your desired outcomes.

When it comes to addressing sagging eyes, trust in the expertise of Dr. Allan Wulc at W Cosmetic Surgery. With his meticulous attention to detail and commitment to excellence, you can rest assured that your aesthetic goals are in capable hands.

Schedule a Consultation at W Cosmetic Surgery of Philadelphia

Ready to rejuvenate your appearance and regain youthful, refreshed eyes? Schedule a consultation with Dr. Wulc today to explore your options and embark on your journey to a revitalized look.

At W Cosmetic Surgery, we’re dedicated to helping you look and feel your best with individualized treatments tailored to your unique needs. Contact us today
to take the first step towards a more youthful and vibrant appearance.

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