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If my plan is to perform both a brow lift and upper eyelid surgery, I
like to do the brow lift first, and then work on the upper eyelids about six weeks
later. It's a small hassle for the patient, but I think it gives better
results.
When performing the upper eyelid surgery, I like to take off enough skin that
the patient can't quite get her eyelids closed for a couple days after
surgery. By the end of the week, the lids are closing fine. That
way, I am convinced that I removed all of the skin that I could safely remove.
If I'm elevating the brows during the same operation, it's not safe to be
that aggressive with the skin excision on the upper lids. I have to skimp
on the lid excision, and the result isn't quite as good.
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