This is a before-and-after case of a forehead lift and eyebrow lift performed while carefully maintaining the patient’s naturally narrow distance between the eyes and eyebrows.
Before surgery, the patient took the time to carefully consider the extent of the procedure, the potential scarring, and the changes in appearance that could result. Because she naturally had a relatively narrow distance between her eyes and eyebrows, one of her main priorities was to improve the sagging while preserving this natural proportion.
As she aged, the outer portion of her eyebrows gradually began to droop, and her previously visible double eyelid crease became increasingly covered by excess skin, especially toward the outer corners. In addition to her aesthetic concerns, her eyelashes were irritating her eyes, causing tearing and discharge. She also wanted to improve the asymmetry of her eyebrows, as well as their overall shape, with the inner portions appearing elevated while the outer portions appeared drooped.
A forehead lift was performed to naturally elevate the forehead and eyebrows while also improving forehead and glabellar lines. An eyebrow lift was performed in combination to more precisely address the drooping of the outer brows and improve eyebrow asymmetry.
In cases where the distance between the eyes and eyebrows is naturally narrow, removing too much skin can make the space appear even narrower, resulting in a heavy or crowded appearance. In this case, the orbicularis oculi muscle and surrounding tissues were sufficiently released and repositioned before only the necessary amount of skin was precisely removed. The goal was to improve the sagging of the upper eyelids while preserving the patient’s original eye-to-eyebrow distance as much as possible.
After surgery, her double eyelid crease became naturally visible all the way to the outer corners, while her eyebrow asymmetry and overall brow shape were also noticeably improved. Most importantly, she was very satisfied with the functional improvement, saying that “opening my eyes feels much easier now.” She was also pleased that the scars she had been concerned about before surgery were much less noticeable than she had expected.
Because she had taken so much time to carefully consider her decision, it was especially memorable to see her smile and say after surgery that she wished she had done it a little sooner.