Blepharoplasty London | 22 February 2025

The eyes are one of the most expressive and defining features of the face. Over time, however, many people notice a change in how their upper eyelids and brows appear – leading them to feel older, more tired, or less like themselves. For those considering facial rejuvenation, the two most common procedures we offer to refresh the eye area are upper eyelid blepharoplasty and the brow lift.

These procedures are often discussed in tandem, and understandably so—the signs of ageing around the upper face often involve both the eyelid and the brow. But which one is right for you? Or is a combination the most effective path to a refreshed, more youthful appearance?

Let’s explore the differences between these two procedures and how we help our patients navigate the decision with expert care.

Why Patients Choose Jonathan Britto

Patients seek Jonathan’s oculoplastic surgery expertise for a wide range of reasons. Some patients feel that their upper eyelid is droopy – a condition known as ptosis – or heavy, due to dermatochalasis (excess eyelid skin). These changes can affect more than just appearance. Many patients are seeking greater eyelid comfort, improved visual field function, and youthful upper eyelid definition.

Others are looking for a renewed sense of confidence. They feel that the weight and heaviness in the upper eyelids makes them look tired, withdrawn, or older than they feel inside. Sometimes, a recent life change—a career transition, relationship shift, or personal milestone—sparks the desire for upper eyelid rejuvenation. And some individuals, having noticed the same signs of ageing in their parents or relatives, choose to act pre-emptively.

Every patient has a unique story to tell. At the Jonathan Britto Clinic, our role is to help your appearance reflect that story – with clarity, integrity, and artistry.

Upper blepharoplasty, commonly known as an eyelid lift, is a precise surgical procedure that removes excess skin, muscle, and sometimes fat from the upper eyelid. It is one of the most popular and effective procedures in facial plastic surgery.

Patients who benefit from upper eyelid blepharoplasty often report:

– A lighter feeling in the upper eyelid

– Enhanced peripheral vision

– A more alert, youthful, and defined eye shape

– Fewer unsolicited comments such as “Are you tired?”

The procedure is performed under local anaesthetic or “Twilight” (conscious sedation) with carefully hidden incisions in the natural eyelid crease. Recovery is relatively straightforward, and most patients return to normal social activity within 10 –14 days.

Blepharoplasty is highly individualised. For patients who primarily experience drooping eyelid skin, without a low or heavy brow, it may be all that’s needed to restore a refreshed and natural look.

A brow lift (or forehead lift) is a procedure designed to elevate the position of the brow. It is particularly effective for patients whose brow has descended over time—creating hooding or a “pressed down” appearance over the upper eyelids.

Some patients come in thinking they need an eyelid lift, when in fact the heaviness is due to the brow position. This is why accurate assessment by a specialist is essential. Jonathan’s expertise in both aesthetic and reconstructive facial surgery ensures you get a plan that is tailored to your facial structure, goals, and expectations.

There are several different brow lift techniques, and Jonathan will advise on the most suitable option, taking into account:

– Anatomical structure

– Hairline position

– Desired aesthetic outcome of the brow shape and position

– Downtime and recovery preferences

– Upper Blepharoplasty or Brow Lift – or both?

This is one of the most common questions we are asked: “Do I need a blepharoplasty, a brow lift, or both?”

The answer lies in comprehensive facial analysis, something Jonathan excels at. In some cases, only one procedure is necessary. In others, a combined approach achieves the most natural and balanced result.

For example:

– A younger patient with hereditary eyelid fullness may benefit from upper blepharoplasty alone.

– A mature patient with both forehead sagging and eyelid skin excess might be best suited to a combination of a brow lift and blepharoplasty.

– Patients with functional concerns, such as visual obstruction, may require functional eyelid surgery that is supported by brow repositioning.

In today’s world of aesthetics, the range of surgical and non-surgical options can be overwhelming. Injectable treatments, thread lifts, radiofrequency tightening – these options have their place, but they are not a substitute for surgical precision in the right cases.

At the Jonathan Britto Clinic, we cut through the noise. Jonathan and his team offer clear, honest advice, backed by years of experience in both cosmetic and functional eyelid and brow surgery. Before your surgery, you’ll receive:

– A thorough facial analysis

– A plain-language explanation of your options

– Discussion of costs, risks, recovery time, and benefits

– A written report summarising your personalised treatment plan

Both men and women consider upper eyelid surgery or a brow lift for many different reasons. It may be to correct a familial trait, to reclaim youthful vitality, or to address functional impairment. Whatever your motivation, your journey deserves the attention of a trusted expert.

If you’re ready to explore your options with one of the UK’s leading oculoplastic surgeons, we invite you to contact the Jonathan Britto Clinic. Discover the confidence that comes with eyes that reflect your energy, not your age.