
Many people look in the mirror and feel that their eyes appear tired, heavy, or less open than they used to be, even when they feel well-rested. The challenge is that the concern may stem from low brow skin, excess eyelid skin, or a combination of both.
At Ladner Facial Plastic Surgery, Dr. Keith Ladner helps patients sort through these differences and choose the option that best fits their features and goals. As a double-board-certified facial plastic surgeon who focuses exclusively on cosmetic facial procedures, he brings a highly specialized eye to brow lift and eyelid surgery for patients in Denver, CO, and Beverly Hills, CA.
Could a Brow Lift Help You Look More Refreshed?
A brow lift may be the better option when the eyebrows have gradually lowered, creating heaviness above the eyes. This change can make the eyes look smaller, create hooding near the outer corners, or give the face a tired or concerned expression.
A brow lift may help improve:
- Low or flattened eyebrows
- Heaviness above the upper eyelids
- Deep forehead lines
- Frown lines between the brows
- Hooding caused by a lowered brow
Dr. Ladner carefully considers the brow position, forehead, hairline, and eye shape before recommending treatment. His goal is not to create a dramatic or surprised look, but to restore a more open, rested appearance that still feels natural to the patient.
When Is Eyelid Surgery the Better Choice?
Eyelid surgery, also known as blepharoplasty, may be more appropriate when the concern comes directly from excess skin or puffiness around the eyes. Upper eyelid surgery can reduce skin that folds over the natural crease, while lower eyelid surgery can soften bags and loose skin beneath the eyes.
Patients may consider eyelid surgery for:
- Drooping upper eyelid skin
- Puffy upper or lower eyelids
- Under-eye bags
- Loose skin beneath the eyes
- Eyes that still look tired when the brow is gently lifted
Because the eyelids are delicate and central to facial expression, surgical precision matters. Recovery typically includes temporary swelling and bruising, with most patients gradually returning to normal activities as the area heals.
Dr. Ladner completed advanced fellowship training under a leading facial plastic surgeon and later taught facial plastic surgery to residents. This experience helps him create subtle changes that brighten the eye area without changing what makes a patient look like themselves.
How Can You Tell Which Procedure Fits Your Concerns?
It can be difficult to tell whether the brow or eyelids are creating the tired appearance. A simple clue is what happens when the brow is gently raised. If much of the heaviness improves, a brow lift may address the main concern. If extra eyelid skin remains, eyelid surgery may be the more suitable option.
A consultation provides a clearer answer. Dr. Ladner looks at the entire upper face, including the forehead, brows, eyelids, and cheeks, rather than focusing on one area in isolation. This helps prevent unnecessary treatment and supports a balanced result.
Can Brow Lift and Eyelid Surgery Be Performed Together?
Yes. Some patients have both a lowered brow and excess eyelid skin, making a combined approach the most effective choice.
Combining the procedures may provide:
- A brighter, more open look
- Smoother upper-face contours
- Better balance between the brows and eyelids
- A refreshed result that does not look overdone
Each surgical plan is tailored to the patient’s brow position, eyelid concerns, and desired level of change. Patients can also explore the Before & After Gallery to see examples of Dr. Ladner’s brow lift and eyelid surgery results.
Find the Right Option in Denver, CO, & Beverly Hills, CA
Choosing between a brow lift and eyelid surgery does not have to feel confusing. The right procedure depends on where the heaviness begins and what kind of change feels most natural for the patient.
Contact Ladner Facial Plastic Surgery at 213-457-7740 to schedule a consultation in Denver, CO, or Beverly Hills, CA.

