Understanding Internal Brow Lift Benefits During Upper Lid Blepharoplasty
- Ranganath Srinivasa Rao
- 6 days ago
- 4 min read
Aging and genetics often cause drooping eyelids and sagging brows, which can make the face look tired or older .
Many people seek cosmetic procedures to refresh their appearance, and upper lid blepharoplasty is a popular choice.
However, combining this with an internal brow lift can enhance results by addressing the brow position as well as the eyelids.
This blog explores the internal brow lift performed during upper lid blepharoplasty, explaining the procedure, who is a good candidate, and the benefits it offers.
What Is an Internal Brow Lift?
An internal brow lift is a surgical technique designed to elevate the position of the eyebrows without external incisions on the forehead.
Unlike traditional brow lifts that require visible cuts along the hairline or scalp, the internal brow lift is performed through small incisions hidden within the upper eyelid crease.
This approach allows the surgeon to tighten the underlying muscles and tissues that pull the brow downward, lifting the brow to a more youthful and natural position.
The internal brow lift is often combined with upper lid blepharoplasty, which removes excess skin and fat from the upper eyelids.
Together, these procedures can significantly improve the appearance of the upper face by opening the eyes and reducing heaviness caused by sagging brows and lids.
How the Procedure Works ?
During the surgery,I make a discreet incision along the natural crease of the upper eyelid.
Through this access point, I carefully lift and reposition the brow tissues. The muscles responsible for pulling the brow downward are either tightened or partially released to allow the brow to sit higher.
Excess skin or fat may also be removed or repositioned to create a smooth contour.
The internal brow lift avoids large scars and reduces recovery time compared to traditional brow lifts.
The entire procedure typically takes about one to two hours and is often done under local anesthesia with sedation or general anesthesia, depending on patient preferences.
Who Is a Suitable Candidate?
Not everyone with drooping brows or eyelids needs an internal brow lift, but it is an excellent option for many people who want subtle yet effective rejuvenation of the upper face. Suitable candidates usually have:
Mild to moderate brow drooping that affects the eyelid appearance
Excess skin or puffiness in the upper eyelids
No significant forehead wrinkles or deep furrows that require a full brow lift
Good overall health and realistic expectations about the results
Desire to avoid visible scars on the forehead or hairline
People with severe brow ptosis or heavy forehead wrinkles may require a traditional brow lift or other procedures for optimal results. A thorough consultation with a qualified plastic surgeon can help determine the best approach based on individual anatomy and goals.
Benefits of Combining Internal Brow Lift with Upper Lid Blepharoplasty
Combining these two procedures offers several advantages over performing upper lid blepharoplasty alone:
Improved Eye Openness
Lifting the brow reduces the hooding effect on the upper eyelids, making the eyes appear larger and more alert.
Natural-Looking Results
The internal brow lift uses hidden incisions and subtle tissue adjustments, avoiding the "surprised" look sometimes seen with traditional lifts.
Reduced Recovery Time
Smaller incisions and less tissue disruption mean patients often experience less swelling and bruising, allowing a quicker return to daily activities.
Long-Lasting Effects
By addressing both the brow and eyelid, the combined procedure provides a more balanced and youthful upper face that lasts longer.
Minimal Scarring
Incisions are concealed within the eyelid crease, leaving no visible scars on the forehead or hairline.
What to Expect During Recovery
After surgery, you may experience mild swelling, bruising, and some discomfort around the eyes and brow area. These symptoms typically improve within one to two weeks. It is important to follow post-operative care instructions, which usually include:
Keeping the head elevated to reduce swelling
Applying cold compresses as recommended
Avoiding strenuous activities and heavy lifting for several weeks
Using prescribed eye drops or ointments to prevent dryness or irritation
Attending follow-up appointments to monitor healing
Most patients can return to work and social activities within 10 to 14 days, though complete healing and final results may take several weeks.
Real-Life Example
Consider a 55-year-old woman who felt her eyes looked tired despite getting enough rest. She had mild brow drooping and excess upper eyelid skin that made her eyes appear smaller. After consulting with her surgeon, she chose to have an internal brow lift combined with upper lid blepharoplasty. The surgery lifted her brows slightly and removed the excess eyelid skin. Within two weeks, she noticed her eyes looked more open and refreshed, with no visible scars. The subtle lift gave her a natural, youthful appearance without changing her facial expressions.
An internal brow lift during upper lid blepharoplasty offers a targeted solution for people seeking to improve the upper face's appearance without extensive surgery. By lifting the brows and removing excess eyelid skin, this combined approach enhances eye openness and facial harmony with minimal scarring and downtime.
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