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How do I know if I need a brow lift, an upper blepharoplasty, or both?” It’s one of the most common and most important questions we get asked. In its simplest form, we start by looking at where the brow sits. Is it still resting along the brow bone, or has it descended below it? Is there excess skin on the upper eyelid that needs to be removed? These questions help us begin to understand where the heaviness is coming from. The eyes are central to how we express emotion, how we connect, and how we age. So when someone says, “I just look tired all the time,” or “I don’t recognize myself in photos anymore,” we listen closely. And we take those concerns seriously. There are several different approaches to rejuvenating the eye area, and understanding the anatomy is key. Many patients come in assuming the issue is all about eyelid skin. And sometimes, that’s true. But just as often, it has to do with brow position — a subtle descent over time that changes the frame of the face, creating a heavier, more closed-off appearance. A brow lift can restore a softer, more open expression by lifting and reshaping the brow to its natural position. An upper blepharoplasty removes redundant skin from the eyelid, allowing the natural crease and contour to reappear. Sometimes the best result comes from one procedure. Other times, it’s a thoughtful combination of both. But ultimately, it comes down to what feels right for you, at this stage, in this season of your life. Our role is to help you navigate that decision with honesty and expertise. We’ll walk you through what each procedure can (and cannot) accomplish, and how it aligns with your goals.