Brow Lift vs Eyelid Surgery: What’s best for sagging eyelids?

Brow Lift vs Eyelid Surgery for Facial Rejuvenation.

Upper facial ageing is common after the age of thirty or forty.  And there’s no more obvious place that ageing occurs than around those central features of your face – your eyes and eyelids. These areas age more quickly than most other areas of the face. And because they show ageing more quickly, they are often the first areas of the face that people choose to treat with cosmetic procedures.  Eyelid ageing is also soon followed by ageing of the lips and mouth, the jawline, cheeks and temples. But when it comes to rejuvenating your upper face and eyelids, as a priority over other concerns, sometimes the question becomes brow lift vs eyelid surgery?” – and how to figure out WHICH of these two options is going to be best for your facial appearance. 

Eyelids or Brows? Here’s where an expert Surgeon’s opinion really matters.

In this blog, we hope to shed some light on what to consider when you’re considering having your brows or your eyelids lifted.

  • As with all cosmetic procedures, there’s typically never just ONE solution that fits every person’s face just perfectly.
  • Typically, you’ll get to choose between several workable options, although they may come with different costs, time frames, risks and down time.
  • Some patients can achieve eye area rejuvenation with cosmetic injections alone, at least temporarily.
  • Others have lost too much skin elasticity to benefit from injections in that area of the eyelids; they may need a surgical solution, instead.

A Surgeon, however, can help you evaluate your best alternatives, including non-surgical and surgical solutions, based upon a number of factors they take into account.

  • This includes professionally assessing your skin health and resiliency, your anatomy, your facial ageing and the distance between your brows and upper eyelids.
  • It may also include an assessment of what non-surgical options you might have to improve the appearance of your eyes and brows, such as cosmetic dermal filler injections or muscle relaxing injections.

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There are many factors that go into making a good decision when choosing between a brow lift vs an eyelid reduction – and whether you might need both.


It’s best to discuss your brow lift and eyelid surgery options with an expert Surgeon, in person. 

This allows you to gain a realistic assessment of what can be accomplished  – and how. 

An in-person surgical assessment can also advise you of what impact a surgical reduction of the eyelids vs a brow lift will have on your overall facial appearance.

You can schedule a consultation with facial rejuvenation Surgeon Dr Benjamin Burt by phoning (03) 8849 1444 in Melbourne.

  • An expert Surgeon can help you decide what your best eyelid reduction or brow lift surgery options will be to address your specific concerns.
  • Taking into account your skin and facial anatomy, your Surgeon can advise you on:
    • the position of your brows
    • the degree of excess eyelid skin
    • the risks of having one procedure over another procedure in terms of effects and impact on the entire facial appearance
    • how to resolve your concerns most effectively
  • Note that a brow lift does not intend to reduce wrinkles on the forehead; it is more to align the brows in a more elevated position on the forehead, but one that still looks natural. For wrinkle reduction, consider cosmetic injections such as wrinkle relaxers.

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But be careful who you choose to perform your eyelid or brow surgery.

No one wants to risk a botched blepharoplasty, so be sure you understand – and avoid – the higher risks of medical tourism or cheap offers for eyelid reductions by non-dedicated or less-trained Surgeons.

  • Eyelid and Brow Surgery are very complex procedures.
  • They need to be performed with excellent planning and surgical precision, requiring the utmost in surgical skills.
  • You’ll ideally want these surgeries performed by some of most highly-respected professionals in the field of Oculoplastic Surgery and/or Plastic Surgery of the face, such as Dr Benjamin Burt (FRANZCO/FACS), the dedicated eyelid and brow surgeon at Cosmetic Surgery for Women.

Dangers of a Blepharoplasty Procedure Gone Wrong

The Botched Eyelid Lift or the Brow Lift that leaves you looking ‘surprised’ – Avoiding an unnatural-looking result means choosing a very talented, highly skilled Surgeon with a surgical focus on the procedure.

Overseas medical tourism is thought to be risky for most procedures, but even more so for eyelid procedures.

  • Less experienced Surgeons can leave you with a startled look if they raise the brow too high.
  • Non-Eyelid Experts can also leave you with a hollowed looking eye area or eyelid function problems, if they lack technical skill performing brow lifts or eyelid lifts, should they inadvertently take too much skin away during the procedure. (Remember, cosmetic surgeons might just be a GP not a designated Specialist – check with AHPRA).
  • Worse yet, if you risk overseas surgery or a discount GP or skin doctor who has limited expertise in eye procedures, you might have major eye lid complications that are impossible to remedy – such as not being able to fully close your eyes (as in the movie Behind the Candelabra, which revealed celebrity Liberace had a botched eyelid procedure).
  • But Surgeons who dedicate their practice to eyelid procedures and brow lifts, such as eyelid surgery expert Dr Benjamin Burt of Melbourne (an Oculoplastic Surgeon), are highly regarded for their experience and technical expertise.

Eyelid Surgery expert Dr Benjamin Burt is dedicated to getting patients natural-looking facial rejuvenation effects and to helping patients decide which procedure – a brow lift vs eyelid lift – will get them a better result.


Good surgery decisions always take into account your skin condition, your appearance goals and your facial anatomy.


Is Facial Ageing Worse in Australia due to sun exposure? Does that include the eye lid skin?

  • The eyelid area usually leads the way in facial ageing, mostly because it involves thinner skin, and frequently moved muscles that are repeatedly taxed by your facial expressions.
  • Prematurely ageing eyelids CAN also occur earlier in life for people living in Australia or other sun-drenched countries.
  • That’s because both sun exposure (UV damage) and frequent squinting can both take a toll on your eyelid skin resiliency.

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But whether your skin and eyelids still look good at forty, fifty or sixty is not fully dependent on sun exposure. It also depends on your skin tone and pigmentation levels, skin care regimes, your facial anatomy and dynamic expressions.

  • So how much sun you get DOES count.
  • But some of your facial ageing is also dependent on your genetics – and partially related to your skin health and facial anatomy.

This includes the position of your EYE BROW area, both anatomically and how it changes as you age, as well as your eyelid skin.

Deciding between a Brow Lift vs Eyelid Surgery: Ask an expert

How do I know if I need a Brow Lift vs Eyelid Reduction Surgery (Blepharoplasty)? The Answer.

Again it’s a complex question. Not every person’s face will be best served by this general answer; because every patient’s different.

  • As mentioned, it’s important to get a confidential consultation with a top-rated Surgeon who understands the procedure in detail, and who has a very advanced grasp of facial anatomy, eyelid function and surgical precision.

That noted, there are some indications you can take into account on your own, to get a general sense of what you MIGHT need.

  • But this general information in no way replaces medical advice or the advice you’ll be given during a confidential consultation with an expert Surgeon.

Note the position of the BROW and the degree of SAGGING of the Eyelid Skin.

Is it your eye brow position – or the skin laxity below your brow – that has led to your appearance concerns?

In general, typically the position of the brow – as well as the laxity of the eyelid skin between the brow and upper lashes – comes into play in making these decisions.  A low brow position means that a blepharoplasty procedure may yield unsatisfactory results. But it really depends on numerous factors, and these issues are best assessed by a Surgeon who has great communication skills and advanced eye area rejuvenation surgical abilities.

Here are some general guidelines for Brow Lift vs Eyelid Lift Procedures

  • You may need a BROW LIFT if you have very LOW brows, or if the BROW area sags to a point that is too low to perform a successful upper eyelid lift without a brow lift.
  • The other option for you may be a COMBINED eyelid surgery and brow lift procedure, to help you get you a more refreshed appearance. 
  • These may be done separately and they may sometimes be combined.  Many patients will start with one procedure but some will be advised they’ll get a better result with both.
  • If your brows are already in a heightened position, naturally (and not just because you’re raising them to see better), then a brow lift can leave you looking ‘stunned’ or ‘surprised.’

For many patients, upper eyelid surgery will be the answer. But for patients with low eyebrows, the brow lift may be a better solution.  And some patients will benefit from both, or from an upper and lower eyelid procedure.

  • Find out what might be best for YOUR facial rejuvenation concerns by phoning us on (03) 8849 1444 or sending an enquiry form today.
  • We also have monthly EVENTS where you can meet Dr Benjamin Burt (be sure to ask which next event he’ll be presenting at; as his presentation schedule varies).

Average Age of Eyelid Surgery Patients in Australia at our Clinic

How old are most patients who seek a brow lift or eyelid lift procedure in Melbourne?

The answer is, it varies.

Having eyelid surgery at an earlier stage, before the eyelid ptosis is very severe, can also be of benefit, notes Dr Burt. That’s because the skin may heal better and the surgery may require less skin reduction (a less intensive procedure, in other words, so one you could potentially heal more quickly afterwards). But there is no single age that is best – it varies from mid-30s to 70s and beyond.

In general, however, men and women in their 40s, 50s or early 60s are most keen to explore their eyelid and brow lift options.

Most people who come for eyelid surgery are generally over the age of forty, but NOT ALL.

In fact, we increasingly see younger patients who want a brow lift or eyelid reduction surgery because they are aware of how aesthetically desirable the results can be on the overall facial appearance.

This includes Beauty Blogger and Eyelash Technician, Amea May, who had a Blepharoplasty with Dr Burt.

Eyelid and Brow Lift Surgery is Not Just for the Over Forties and Over Fifties

  • Even younger patients in their twenties and early thirties may investigate their Eyelid Reduction Surgical options
  • Eyelid Lift surgery can remedy genetically-inherited heavy looking eyelids (sagging upper eye lid skin that hang over the eyelid crease or upper lashes)
  • Click here for a patient diary of recovering from eyelid surgery in her early twenties to remedy frequent skin infections and heavy, baggy looking upper lids
  • Lower Eyelid Surgery or Canthoplasty can assist with remedying under-eye bags, sagging skin or lower eyelid problems such as Entropion and Ectropion

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Can cosmetic injections help reduce eyelid sagging or a droopy brow? Or do you definitely need an eyelid lift or brow lift instead?

  • It is true that Cosmetic Injections around the brow and eyelids CAN do a lot to rejuvenate that area of the face.
  • If you have mildly sagging eye brows or eyelid skin, some injections can achieve a slight, temporary eyebrow lift.
  • Fillers and muscle-relaxing injections can also temporarily relax lines and wrinkles, reduce crow’s feet, and gently lift the eyelid area in the early stages of ptosis. But typically, only to a point.

Depending on your skin, your anatomy and your degree of ptosis (sagging) of the brow or eyelid skin, you may be best off with a surgery solution, instead.

  • Find out more by visiting our Clinic in person – appointment only – by phoning us today.

Our Cosmetic Injectors and Eyelid Surgeon Dr Benjamin Burt are happy to give you an evaluation of your eyelid condition and what they’d suggest as a solution for facial rejuvenation.

Contact our Patient Care Team on (03) 8849 1444 to arrange a no-obligation consultation or request more information.

You can also request a Blepharoplasty Surgery Guide e-book or a Facial Rejuvenation Treatment Guide e-book – Request your FREE COPY of these helpful Guides by phoning us or by visiting the Cosmetic Surgery Guide e-books pages.


Important Questions to ask yourself when you have sagging eyelids and are considering your Brow Lift vs Eyelid Surgery Options

Additional blog to read about brow improvement options: LIFTING YOUR BROW GAME.


Question 1: Can you see ALL of your eye lashes – if not, how much are they obscured by eyelid skin?

  • When eyelid skin sagging occurs (ptosis, or the condition of ptotic eyelids), it is common for your upper lashes to become hidden by your eyelid skin.
  • Your eyelids may look puffy or hang down over your eyes, partially obstructing your vision.
  • You may have difficulty applying mascara or eye makeup without significantly raising your brows.
  • Eye makeup and mascara may rub off on your eyelid skin or appear hidden by crepey-looking skin folds.

A tell tale sign that you have excess eyelid skin is when you can only see only a few eyelashes on each side, or less on one side – perhaps you can only just see the eyelash tips.

  • The eyelid skin may even start to look baggy, wrinkled or folded – it may hang diagonally across the iris of the eyes, leaving your eyes looking more ‘triangle’ in shape than oval or round.
  • The crepe-like skin may obscure your crease platform; you may not be able to effectively wear or apply eye shadow or other facial makeup.
  • If you have Asian heritage, you may also have a double-eyelid fold appearance (ask Dr Burt about Asian Eyelid Reduction Surgery or “double eyelid surgery” if so).

If YES, you may want to explore your Eyelid Surgery Options such as Upper Blepharoplasty (Eyelid Reduction or Eyelid Lift Surgery).

eyelid-surgery-before-after-photos-young-patient

Read more about Eyelid surgery and Melbourne Surgeons .

Question 2: Can you still apply makeup to the eyelid crease and area between your brows and upper eye lashes?

  • Often, it’s an inability to apply eye-shadow, mascara and other eye enhancing makeup options to your eye area and eyelid crease, that leads women to seek an Upper Blepharoplasty (eyelid surgery or an eyelid lift).
  • If you have no ‘eye shadow’ platform or a hidden crease due to puffy eyelid skin above the iris area, this may indicate you need an eyelid lift.
  • If you have a double eyelid (or an Asian type of eyelid heritage), you may need what’s called an Asian Blepharoplasty or “double eyelid reduction/lift” to create the eyelid platform to wear makeup and enhance the appearance of the eyes and upper face.

Question 3: Do you need to raise your brows to see better? Or are you constantly raising ONE brow?

  • A lot of brow raising is reflexive, when you naturally find your vision obscured and raise your brow (or brows) to lift the eyelid skin to see better.
  • You might not even notice that you’re doing this (but it can become obvious in photographs including selfies).
  • While women find not being able to wear makeup an impetus for having timely eyelid reduction surgery, for men, it’s often either when their partner insists they need surgery OR when their vision becomes so impeded they can barely see.
  • Sometimes a Doctor will advise a patient to see a Plastic Surgeon or Oculoplastic Surgeon because their upper eyelids have become so saggy.

Like it or not, men are not normally as quick to remedy a problem with their eyelid skin as women are; so they tend to have eyelid surgery later than they probably should.

This means they may be driving or flying with highly impaired vision due to their eye sight being obscured by sagging eyelid skin.

Image of Corrective Blepharoplasty results (male patient) that addressed sagging eyelid skin that impeded vision:

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Question 4: Are your brows sitting so low that they appear to nearly rest on your eyes or lashes?

  • Is there a lot of skin between your eyebrows and eyes, or is hardly any visible because your eye brows sit low on your forehead?
  • If your brows are very low, there may seem to be very little skin visible between your brows and your upper lashes or eyes.
  • In this scenario, you may benefit more from a rejuvenating brow lift rather than an eyelid reduction; or some patients may require both to get the appearance improvements they’re wanting to achieve.
  • Find out more by asking to see one of our Facial Rejuvenation experts such as Brow Lift & Eyelid Surgeon Dr Burt.

Are you ready to refresh the appearance of your eyes?

Phone us today and be sure you read our free guides before you meet with your Surgeon or Cosmetic Injector.

We look forward to helping you LOOK more refreshed – and if you’re vision is impeded, we can help you correct this problem by reducing excess skin above your eyes.

Read LIFTING YOUR BROW GAME.

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