Beverly Hills Eyelid Surgery

Beverly Hills Eyelid Surgery, performed by World renowned Beverly Hills Plastic and Cosmetic Surgeon Dr Francis Palmer who was voted one of the “World’s Best” plastic and cosmetic surgeons.  Dr Francis Palmer answers a common question regarding Beverly Hills Eyelid Surgery.


I’m a female in my thirties with upper eyelid fullness.  How can I tell if I need a Browlift or upper eyelid surgery to remove the heaviness from my upper eyelids?


Dr Palmer’s Answer:

I have performed many Brow lifts over the past 25 + years and before the plastic and cosmetic surgeon can recommend a Browlift to reduce upper eyelid hooding the following evaluation must be performed on the prospective patient.  With the surgeon standing behind the patient each eyebrow, in turn, is lifted into the ideal aesthetic position while the degree of upper eyelid fullness is then evaluated.

If the degree of upper lid hooding decreases when the eyebrows are elevated into the proper aesthetic position, during the initial consultation (this must be done in each and every case), then the upper eyelid will appear as it does with the eyebrows in that elevated position.  Because the lateral, or outer portion of the eyelid falls more than the head of the eyebrows, the Brow lift is designed to raise that section more resulting in less of a round-eye and more of an almond shape.  In fact, these are the two main reasons to have a Browlift.

Browlifts have a very specific aesthetic indication, which is low aesthetic brow position.  The initial assessment, briefly described above, must be done on each individual prospective Browlift candidate to be certain that the eyebrows are indeed low.  Every upper eyelid fullness isn’t a result of low eyebrows.  Here’s how the assessment should be performed to determine if you are a suitable Browlift candidate.  If this was not done during your consultation, you might want to get a second opinion before having the Browlift:

With the patient sitting down and looking in a mirror.  The surgeon stands behind the patient and raises each eyebrow into the proper aesthetic position.  This does require an understanding of exactly what that position is.


The patient is asked to close and open her eyes to assess the ability to completely close the eyes.  This is important to avoid chronic dry eye after the surgery should the brows be lifted too high or in the wrong scenario.

With the eyebrows in the proper aesthetic position one of three possible scenarios result:


1. The upper eyelids have all the excess hooding removed.  In this scenario a Browlift alone is the perfect surgery.


2. The upper eyelids have some reduction in hooding but some still remains.  In this scenario, a Browlift can be done to remove that portion of upper lid hooding while an upper eyelid surgery (Blepharoplasty) would be required to remove the rest.  These can be performed at the same time.  I prefer to do the Browlift first and then remove the remaining upper lid skin with Blepharoplasty.


3. The amount of upper lid hooding is unchanged.  Caution is warranted in this scenario which indicates the eyebrows are already at the proper aesthetic position and a Brow lift should not be done.  Instead an Upper Eyelid Surgery (Blepharoplasty alone) is the procedure of choice.  Hope this helps.