Should I Get a Blepharoplasty or Brow Lift? (Updated 2025)

Woman smiling with her eyes closed (model)

If your eyes or forehead are making you look more tired or aged than you feel, you’re not alone. The delicate upper third of the face is often the first place to show signs of aging, and it’s common to wonder whether a blepharoplasty (eyelid surgery), a brow lift, or both might be the right solution. At Youthful Reflections, I help patients every day decide which option will help them look refreshed while still feeling like themselves.

Understanding the Difference

Blepharoplasty, also known as eyelid surgery, focuses on removing or repositioning sagging skin and fat around the eyes. It’s ideal for treating:

  • Droopy or hooded upper eyelids
  • Puffy under-eye bags
  • Impaired vision due to excess skin

The procedure takes about 30 to 45 minutes and is performed in-office using local anesthesia with oral sedation. Most people return to their normal activities in about a week, with results that can last for years.

See the before and after photos from some of our favorite cases in this blog post.

A brow lift, on the other hand, elevates the brows and smooths the forehead. If your brow line has dropped over time, it can cause a heavy or angry expression, even when you’re feeling fine. A brow lift addresses:

  • Sagging or low-positioned brows
  • Forehead wrinkles and frown lines
  • Excess upper eyelid skin caused by brow descent

There are various brow lift techniques, and I tailor the approach to each patient’s specific needs. Most procedures take about an hour and are done in-office under local anesthesia and sedation.

Facelift / Reflection Lift Case 2 Before & After Front | Nashville, TN | Youthful Reflections
Before and After by Dr. Michael Boggess in Nashville, Tennessee
Facelift / Reflection Lift Case 31 Before & After Front | Nashville, TN | Youthful Reflections
Before and After by Dr. Michael Boggess in Nashville, Tennessee
Facelift / Reflection Lift Case 15 Before & After Right Oblique | Nashville, TN | Youthful Reflections
Before and After by Dr. Michael Boggess in Nashville, Tennessee
Facelift / Reflection Lift Case 54 Before & After Front | Nashville, TN | Youthful Reflections
Before and After by Dr. Michael Boggess in Nashville, Tennessee

Infographic: Brow Lift of Blepharoplasty with text that outlines reasons to get either procedure featuring two model images

Which Procedure Is Right for You?

If you’re unsure whether the issue is sagging eyelid skin or a drooping brow, try this simple test: Gently lift your forehead skin toward your hairline. If that significantly opens up the eye area, a brow lift may be most beneficial. If not, you might benefit more from eyelid surgery. In many cases, a combination of both procedures creates the most balanced and youthful look.

During your consultation, I’ll assess your facial structure and aging pattern to determine the best plan for you. I may also recommend complementary options, such as fat transfer or laser skin resurfacing, to further enhance your results.

Why Combine a Brow Lift and Eyelid Surgery?

Many patients choose to combine a blepharoplasty and brow lift for a more comprehensive rejuvenation. This approach offers several advantages:

  • Balanced, natural-looking results across the upper face
  • One recovery period instead of two separate procedures
  • Improved facial harmony, especially when paired with other services like the Reflection Lift or laser treatments

When performed together, these procedures can dramatically refresh your appearance without making you look “done.”

What to Expect From Blepharoplasty and Brow Lift Recovery

Both procedures are well tolerated, with most patients experiencing only mild discomfort. You can expect some bruising and swelling for the first week or two, and I’ll provide detailed aftercare instructions to support a smooth recovery. Most of my patients feel confident going out in public again within 7 to 10 days.

Upper eyelid surgery results typically last 5 to 7 years or more. Lower eyelid surgery often doesn’t need to be repeated. Brow lift results can last a decade or longer, especially when combined with good skincare and sun protection.

Let’s Create a Plan That Works for You

The best way to determine which approach is right for you is to schedule a personal consultation. At Youthful Reflections, I tailor every facial rejuvenation plan to match your goals, anatomy, and lifestyle. Whether you’re considering eyelid surgery, a brow lift, or both, I’m here to guide you with expertise, honesty, and artistry.

Take the next step by calling our office today at (615) 942-8016 or request a consultation.

Leave a Reply

Fields marked with * are required.

Results

Worth Waiting For

We understand you want your facial plastic surgery right away, but when it comes to your safety and appearance, patience pays off. Immediate appointments aren’t always available because Dr. Boggess:

  • Is highly accomplished, and his services are in demand.

  • Takes his time to ensure outstanding safety, care, and results.

  • Offers personalized techniques that aren’t available elsewhere.

We are worth the wait.

If you can’t see Dr. Boggess right away, learn why waiting for the best facial plastic surgeon is essential and how you can make the most of that time in blog post.

Learn More
Back to Top