Many patients come to our office seeking improvement in the appearance of their eyelids; however, after they have been examined they end up needing a brow lift. To determine the appropriate procedure for each patient we first begin by placing the eyebrow into a pleasing position. If the redundant skin of the upper eyelid disappears when the brow is positioned upward a brow lift would probably be the most appropriate procedure. If the elevation of the brow does not improve the appearance of the upper eyelids then an upper eyelid blepharoplasty may be most appropriate. In some cases, both blepharoplasty and brow lift may be needed.