Is droopy eyelid corrected by a brow lift or double eyelid surgery?

May 08, 2025 Source: Cainiu Health

Dr. Chen Lu

Introduction

The choice between eyebrow excision (brow lift) and full-incision double eyelid surgery for ptotic eyelids depends on individual circumstances. For younger individuals with mild ptosis, full-incision double eyelid surgery is generally recommended to improve the condition. However, for older individuals or those with severe eyelid laxity, eyebrow excision is typically advised, as it can reshape the eyebrows and restore tightness to the eyelid skin.

Generally speaking, "loose eyelids" refers to eyelid laxity, and "brow excision" refers to the surgical procedure known as brow excision (brow lift). The usual reference price for a brow excision procedure is 2000-5000 yuan per session, with visible improvement typically noticeable within 3-7 days. "Double eyelid removal" refers to double eyelid excision surgery. The usual reference price for double eyelid excision surgery is 10000-50000 yuan per session, with visible improvement generally noticeable within 3-5 days. Whether to undergo brow excision or full double eyelid surgery mainly depends on the patient's age and the degree of eyelid laxity. If the patient is relatively young with only mild eyelid laxity, full double eyelid surgery may be chosen. However, if the patient is older with significant eyelid laxity, brow excision is usually recommended. Detailed analysis is as follows:

If the patient is relatively young, with only mild and barely noticeable eyelid laxity, and the skin's elasticity has not been completely lost without affecting the coordination between the eyes and the face, full double eyelid surgery is typically recommended under a physician's guidance. This procedure mainly involves making incisions in the upper eyelid to remove excess tissue and fat, which are then sutured to form the double eyelid crease. This method can improve eyelid laxity and restore the eyelids to a more normal appearance.

However, if the patient is older with significant eyelid laxity, accompanied by symptoms such as ptosis (drooping eyelids) or eye deformation, the results of full double eyelid surgery are often unsatisfactory. Therefore, it is recommended to undergo brow excision as directed by a physician. This procedure involves removing excess tissue surgically, followed by suturing. During the surgery, the brow shape can be reshaped to restore tightness in the eyebrow area.

Regardless of which surgical method is chosen, it should be performed at a legitimate aesthetic medical institution to ensure safety and effectiveness. Additionally, proper postoperative care should be taken to prevent wound infection.

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Is blood and urine testing required before undergoing double eyelid surgery?

Whether blood and urine tests are required before double eyelid surgery depends on the individual's health condition. Patients without diabetes generally need only a blood test to assess for coagulation disorders, infection, or other conditions. Patients diagnosed with diabetes or those with complications may also require a urine test to evaluate their condition and determine whether the double eyelid surgery can proceed normally.

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Is it attractive for males to have fully incised double eyelids?

In general, a full-incision double eyelid procedure involves making an incision on the upper eyelid, removing excess skin and fat, and then attaching the eyelid skin to the tarsal plate at a specific height to create a double eyelid crease. Whether a full-incision double eyelid looks good for males depends on individual facial features and whether the surgical design aligns with male aesthetic characteristics. There is no absolute answer, but overall, the key is to achieve a natural and harmonious appearance.

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Can individuals with a scar-prone constitution undergo double eyelid surgery?

Double eyelid blepharoplasty creates a double eyelid fold by making an incision on the upper eyelid, removing excess skin and fat, and attaching the eyelid skin to the tarsal plate. The general reference price for double eyelid blepharoplasty is 3000–8000 yuan per session. Noticeable improvement is usually observed within 1–3 months, although symptoms such as swelling and pain may occur. Individuals with a scar-prone constitution are advised against undergoing this procedure.

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How long does the double eyelid surgery procedure take?

Under normal circumstances, double eyelid surgery refers to blepharoplasty. The general reference price for blepharoplasty ranges from 5,000 to 30,000 yuan per session. Improvement is usually visible 1 to 3 months after the surgery. Possible postoperative symptoms include redness, swelling, and pain, which vary depending on individual constitution and recovery status. The duration required for the blepharoplasty procedure needs to be determined based on specific circumstances.