To answer this correctly, your surgeon must examine you carefully and assess what the level of your eyebrows are and how much space there is between them and your eyelash margin. The shape of your eyebrow also has to be taken into consideration. Usually the lateral (outer part) of the eyebrow should be higher than the medial (inner part) of the eyebrow. Some people have a reverse configuration called a “harlequin eye” which makes them look quizzical or sad as the medial brow is higher than the lateral brow.
If your eyebrows are at a normal level and of good shape where you can see at least 1-1.5cm of clear skin between the eyebrow and the outer rim of your orbit, then it is not necessary to perform a browlift. It may be preferable to remove the excessive skin and some bulgy fat pads if there are any. So an upper blepharoplasty may be a better choice.
If however, the tail of the eyebrow is low and almost touching the upper lid fold and there is hooding of the eyelids laterally, then it may be better to have a browlift procedure first to set the eyebrows into their correct position and shape. If after this, there is still excess skin of the eyelids, then this can be removed as well.
A browlift can be performed by excising an ellipse of skin from above the eyebrows. This is called a Suprabrow Lift and is a good method for accurately shaping the brow and a shorter recovery time.
Another option is to make an incision across the anterior hairline to remove a strip of upper forehead skin and pull the eyebrows higher, or to remove a part of the hair bearing scalp in the upper temporal region in order to lift only the tail of the eyebrow. An endoscopic browlift can also be a good option.
