No. Patients who request upper eyelid surgery can be divided into three groups based on recommendations for forehead lift or eyebrow lift surgery. The first group does not have droopy eyebrows or forehead and does not need eyebrow or forehead lift.
The second group has mildly droopy eyebrows and would achieve a much better result from upper eyelid surgery if eyebrow or forehead lift surgery is done at the same time. In this group of patients an internal brow lift is often recommended.
The third group of patients have moderate to severe droopiness of the eyebrows. Close your eyes and put your fingers on your eyebrows. If your eyebrows fall below the boney orbital rim then you are in the third group. This group of patients will not get a good result from upper eyelid surgery unless something is done to elevate the eyebrow or forehead. If only upper eyelid surgery is done in this group of patients, it will lower the eyebrow while raising the upper eyelid. A low eyebrow with a high eyelid makes one look angry which is never a desirable outcome from facial surgery. In this group of patients, we typically recommend a forehead lift at the same time as eyelid surgery.