[News] It’s Not Just a Matter of Drooping Eyelids… What to Check Before a Forehead and Brow Lift

It’s Not Just a Matter of Drooping Eyelids… What to Check Before a Forehead and Brow Lift

Dr. Gu Hui-tae’s Eton column

When considering surgery

to improve drooping eyelids,

it is necessary to examine not only

the eyelid skin but also

drooping of the forehead and eyebrows, as well as patterns of muscle use.

When the eyelids begin to droop,

many people first think of

double-eyelid surgery or upper blepharoplasty.

However, in some cases, the actual cause lies

in the descent of the eyebrow and forehead tissues rather than in the eyelid skin itself, so it is necessary to distinguish the structural cause before surgery.

When the forehead and eyebrow tissues move downward,

the use of the forehead muscles may increase when opening the eyes.

During this process, forehead wrinkles

and glabellar wrinkles may deepen,

and as the skin of the upper eyelids is pushed downward,

the face may appear stuffy or tired.

When the distance between the eyebrows and eyes is narrow or the upper-eyelid tissues are thick,

removing only the eyelid skin may have limitations.

If an eye-shape correction is performed too aggressively,

it may create a crease that does not suit an individual’s facial structure or result in a significant change in appearance.

A forehead and brow lift is a surgical method that adjusts the positions of the forehead and eyebrow tissues together.

It is performed by using an endoscope to dissect the tissues around the forehead and eyebrows, then lifting and securing the drooping tissues.

The surgical area and fixation method are determined by considering the individual’s forehead height, eyebrow position, skin thickness, and eyelid-opening strength.

This surgery may be considered when the cause of drooping eyelids is related to structural changes in the forehead and eyebrow areas,

but it is not applied in the same way

to every patient.

In cases involving hollowing caused by insufficient upper-eyelid fat or a naturally broad forehead, postoperative changes may appear differently, so a preoperative diagnosis is important.

Drooping around the eyes is often not simply a problem of the skin;

it may be necessary to assess the forehead, eyebrows, and muscle movement together.

Therefore, it is important to remember that the decision about whether to undergo surgery and which method to choose should be based not only on the current appearance of the eyes but also on the structure and movement of the entire face.

With various possibilities, including a forehead and brow lift, kept open, we recommend having an in-depth consultation with a specialist.