Brow Lift & Upper Eyelid Fat Transfer

What you'll notice is our patient having a lot of upper eyelid skin, and you may think that we need to do an upper blepharoplasty or upper eyelid surgery. Which, yes, maybe, but the issue here is the fact that the forehead and the brow are too low. So look at that. Once this is elevated to its correct position, meaning once we do a brow lift, she really doesn't need much of an upper eyelid surgery, but she does have hollowing of the upper eyelids. So today we'll be doing a little bit of nano fat grafting, which is truly not nano. It's just micro-lyzed or miniaturized fat that we'll be injecting into that area and then lifting this up instead of doing an upper eyelid surgery for her. So not everyone who thinks that they need to remove the skin really needs an upper blepharoplasty. You really have to start these surgeries from the top and work your way down. You first have to place the brow in the correct position, and sometimes, yes, it is needed. Then you do an upper blepharoplasty. But in our case today, it's not needed.

So we are six weeks out from a brow lift and fat transfer to the upper eyelids. Our patient had had a previous upper blepharoplasty, and she still had excess skin of the upper eyelid that required the brow lift for correction. She also had depression of the upper eyelid, so we did some fat transfer, and as you can appreciate, she looks amazing. And this is her brow lift incision. That is really, really hard to see and will continue to fade away. What do you think? I love it. Big change? Big change. I'm so happy for you.