Is it getting more difficult to put on eye make-up or even see your upper eyelids? Do you have deep forehead wrinkles or eyebrows that droop and sag? Are the hands of time getting the best of you? Raleigh plastic surgeon Dr. Michael Zenn knows how discouraging it can be when your resting look is sad and tired, even when you're happy and rested. 

Suppose you want your youthful and rejuvenated eyes back. In that case, you may wonder about the best procedure for your circumstances. Sometimes it's hard for men and women to know whether they need brow lift surgery or a blepharoplasty. The medical term blepharoplasty means eyelid surgery. In this blog, we will discuss the difference between the two and give you an idea of how you can know which procedure will be best for you.


A lifting of the eyebrows. Brow lift surgery not only raises your eyebrow but reduces the wrinkles and lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose and between the eyes. Elevating the eyebrows creates a more youthful appearance. Often, this is the only required procedure, and patients are surprised that a blepharoplasty is unnecessary.

During a brow lift surgery, Dr. Zenn will use an endoscope and perform the surgery through two ½ inch incisions hidden behind the hairline. This method has been the most significant improvement in brow lift surgery because it avoids the old-time "coronal" brow lift that required a scar from ear to ear and removes scalp tissue to achieve the lift.

Many plastic surgeons, Dr. Zenn included, recommend brow lift surgery for people with very flat eyebrows. A beautiful arch to the eyebrow is another subtle but youthful and attractive feature.


As noted, blepharoplasty is the medical term for eyelid surgery. It can involve the removal of extra skin or fat, and there are many techniques available to plastic surgeons for this procedure. The procedure improves the appearance of the eyelids only.

Blepharoplasty can be on the upper, lower, or both eyelids. Scars are well hidden in the upper eyelid's crease or under the lower eyelid's lash line.

It can be hard to tell if the problem with your eyes is too much skin and fat or just a low eyebrow pushing down on your eyelids. Because it is a hard distinction to make, your surgeon must have the experience to know which surgery will fix your particular issue. When you meet Dr. Zenn in consultation, he will examine you, show you where the problem lies, and which surgery is required to give you that youthful look.


Some men and women have the unlucky combination of low eyebrows, and too much skin, and fat in their eyelids. Just doing one procedure alone will not correct the problem, and those people are good candidates for both a brow lift and a blepharoplasty. 

Additionally, Dr. Zenn often does fat grafting to the eye region during these procedures to further enhance the surgery. 

Dr. Zenn and his caring staff are happy to answer any questions regarding brow lift surgery, a blepharoplasty, a complete facelift or neck lift, or non-surgical injectable dermal fillers.

Call his office today at (919) 480-3885 to schedule your consultation

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