Beauty & Fashion

Deciding on a Brow Lift or Eyelid Surgery

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When people think of plastic surgery, they quickly think of the BIG three:

  • breast implants
  • rhinoplasty (nose jobs)
  • liposuction

And facelift and tummy tuck don’t fall far behind. But, a few plastic surgery procedures get lost in all the rush. These are the browlift and upper blepharoplasty, a procedure to remove excess skin and fat and adjusts the muscle tissue to restore a more youthful appearance to the eyes.

What’s the difference between a brow lift and blepharoplasty?

According to esteemed surgeons, if you have a tendency to look perpetually angry, then a brow lift would be beneficial for you. If puffy bags under your eyes are a nuisance, then a lower blepharoplasty would be ideal. An upper blepharoplasty will help with your tired look.

A brow lift, otherwise known as a forehead lift, works slightly similar to a blepharoplasty. As the name suggests, it lifts one’s forehead slightly to reduce the appearance of age and that “tired” look we hate so much.

Puffy eyes

While aging produces conditions for a brow lift, by far the most common, and perhaps the most annoying problem people encounter are puffy eyes, also commonly identified as severe bags under the eyes. Besides the natural effects of aging, festoons, the medical term for puffy or baggy eyes are often accentuated by prolonged exposure to the sun, by genetics, and through environmental issues such as a patient’s smoking habits.

Women and men too, often spend up to a hundred dollars or more per month using various creams or lotions to combat the effects of puffy eyes, but these cosmetics such as Jeunesse, Rodana, Fields or “Instant Eye Lift” creams last for only a few hours at the most. In addition, not a few people are allergic to one or more of the ingredients. The only permanent solution for festoons is an under-eye bag surgery, performed by a facial plastic surgeon.

What’s the difference between under-eye bags and festoons?

According to this article, bags are protrusions of fat underneath the eye and are hard to the touch, while festoons are in the cheeks though they can extend to the lower eye be squishy to the touch. Bags are associated primarily with aging, while festoons are caused by smoking or sun damage. A patient can have both, yet many physicians treat only the bags and leave the festoons alone, as they tend to be more difficult to treat. Because of treating the bags and not touching the festoons, the festoons can appear worse than if there were no attempts at a surgery to begin with.

Potential procedures for under-eye bags

There are several procedures for puffy eyes including:

  • Intense Pulse Light therapy (using a laser to remove the dark circles under your eyes and to stimulate collagen)
  • dermal fillers to add to lost or decayed fat underneath the eye
  • chemical peels to neutralize signs fine lines, blemishes, rough and dark circles
  • blepharoplasty

And of course, festoons/under-eye bag surgery. If you have serious concerns about having puffy eyes, which should you go with?

According to Anurag Agarwal MD, FACS, a board-certified plastic surgeon who specializes in eyelid surgeries in Naples, FL, you want to be extremely careful about using Botox or other fillers to treat the problem, as the filler can draw water from the body and accelerate the negative effect of a festoon rather than improve them. Dr. Agarwal notes that often the first step in treating a festoon is removing the filler previously inserted by other physicians. Dr. Agarwal, who works out of his office in Naples, FL has the knowledge, training, and expertise to determine what a patient’s realistic needs are and how best to treat them.

He has treated hundreds of patients for eyelid surgeries and offers a thorough discussion of treating festoons and under-eye bags. His website also includes before and after photos of previous surgeries as well as videos on the cosmetic repair and treatment of festoons.

Like all good plastic surgeons, Dr. Agarwal stresses that each patient is different and only a thorough and frank consultation between potential doctors and patients will get to the root and help you solve your plastic surgery needs. Dr. Agarwal can be consulted in the Naples area through either his website or via calling his office at (239)-594-9100.



Welcome to the Night Helper Blog. The Night Helper Blog was created in 2008. Since then we have been blessed to partner with many well-known Brands like Best Buy, Fisher Price, Toys "R" US., Hasbro, Disney, Teleflora, ClearCorrect, Radio Shack, VTech, KIA Motor, MAZDA and many other great brands. We have three awesome children, plus four adorable very active grandkids. From time to time they too are contributors to the Night Helper Blog. We enjoy reading, listening to music, entertaining, travel, movies, and of course blogging.

One thought on “Deciding on a Brow Lift or Eyelid Surgery

  • My uncle doesn’t like the way that his eyebrows look because most people ask if he is angry all the time when he is actually just fine. I’ll be sure to tell him that a brow lift can help get rid of the tired and angry look that he makes so often. He would really like to get a brow lift from a professional to make sure that it is done right so that he doesn’t scare others.


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