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Dr. Denton's Plastic Surgery Blog for Vancouver BC

When is a Brow Lift Indicated With Blepharoplasty?

bleph with browlift

Before & After Brow Lift* Lifting heavy infrabrow skin off of the upper eyelid allows visibility of the upper eyelid crease following blepharoplasty. In doing so, the involuntary contraction of the frontalis muscle also ends, resulting in relaxation and smoothing of the deep forehead wrinkles visible in the “before” photo on the left.

During blepharoplasty surgery excess skin, muscle and fat is removed from the eyelid to create a more open and alert appearance.   The skin of the upper eyelid is some of the thinnest on the body.  Immediately above the eyelid but below the eyebrow is the infrabrow skin.  Unlike the skin of the upper eyelid, the infrabrow skin is quite thick.  If eyebrow position is too low – either naturally or because of age related online pharmacy no prescription changes – a browlift may be required in addition to a blepharoplasty in order to achieve optimal results.   The purpose of the brow lift in this case is to elevate the infrabrow skin off of the upper eyelid in such a way as to allow visibility of the upper eyelid crease when the blepharoplasty has been performed.

Using the photograph above as an example, following the combined browlift and blepharoplasty, the eyebrow itself does not change dramatically in position, however, infrabrow skin has been lifted out of the way allowing the eyelid crease to become visible.  If only a blepharoplasty had been performed,  the eyelid crease would be present but it would be hidden behind the infrabrow skin.

Soft Tissue Augmentation – HA Based Filler – Juvederm Ultra XC

We were using the hyaluronic acid based filler Juvederm Ultra XC to reduce the lines around the mouth in this patient. We took the photograph after the right side had been treated canadian online pharmacy (left side of the photograph) but before the left side (right side of photograph) had been treated. As you can see, the lines are dramatically softened and a subtle upturn of the lip is evident.

New Vitamin/Supplement Protocol – Before and After Facelift

Airlie AP before and after small

Before & After Facelift*. A remarkable photo of a patient only one week following an extended SMAS facelift. The patient had followed a newly recommended vitamin and supplement regimen beginning two weeks before her surgery and designed to speed the post operative healing process.


We have instituted a pre and postoperative supplement and vitamin protocol which begins two weeks prior to a patients planned surgical date and continues for two weeks after their surgery.  To date, the protocol has been used by patients undergoing facelift, rhinoplasty, blepharoplasty and facial liposuction procedures with excellent results.