Performing upper eyelid surgery when the forehead muscle compensates for droopy eyelids can lead to the brow descending and creating a new issue.

“And so these are some of the conversations we have to have with patients that maybe we leave you alone unless you're also ready to have your forehead lifted or at least have what we call a medical brow lift with Botox.”

“If we're going to do an upper eyelid surgery because you're constantly lifting your forehead muscle to be able to see better, your brain's compensating for this this pathology. Um, if we do an upper bluffroplasty, whether it's insurance or cosmetic or whatever, all of a sudden that visual field will improve and your frontalus muscle will automatically relax and your brow will come down and it'll create a new problem that you didn't know you had.”