Denver Eyelid Specialists
8301 E Prentice Ave, Suite 403 Greenwood Village, CO 80111
T
F 720 386 2088

“Because Your Eyelids Deserve an Expert’s Touch.”
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At Denver Eyelid Specialists we believe that every face is unique — but there are foundational aesthetic principles that guide how we shape the brow and eyelid region for optimal harmony, age-appropriate balance, and natural results. A recent review article titled “The Ideal Eyebrow: Lessons Learnt From the Literature” by Dr. Anni Ding summarizes decades of research into brow shape, position, ageing changes, gender/ethnic differences, and pitfalls in rejuvenation.
Below, we break down the key findings and explain how they inform our approach to brow lift and eyelid surgery (blepharoplasty) in Denver.
Key Findings from the Literature
The Brow Is the “Master Line” of the Face
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The eyebrow plays a central role in the upper third of the face — from hairline to glabella — influencing perceived expression, proportion, and facial harmony.
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Although beauty standards evolve, the brow remains a foundational reference line for surgeons and aestheticians.
Classic Brow Guidelines (Westmore & Successors)
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The classic model by Westmore (1970s) proposed:
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The medial brow begins on the same vertical plane as the inner canthus and the alar base of the nostril.
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The brow peak (apex) lies directly above the lateral limbus (the part of the eye’s iris closest to the nose).
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The lateral brow ends on an oblique line from the alar base to the lateral canthus.
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The medial and lateral ends are approximately on the same horizontal level, about 1 cm above the orbital rim.
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Subsequent authors proposed modifications
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For example:
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Wolfort et al suggested the peak be halfway between lateral limbus and lateral canthus. arosph.dk
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Byrd and others found that placing the peak 8-10 mm above the medial brow produced optimal surgical outcomes.
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These guidelines serve as a template — but should be tailored for each patient’s age, gender, face shape, and ethnicity.
Evolution of Brow Trends
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Over time, the ideal brow shape has shifted:
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The brow peak has moved more laterally (closer to the lateral canthus) and the arch has become lower and flatter in modern aesthetic preference.
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A highly arched or medially peaked brow can produce a “surprised” or unnatural look — a common surgical pitfall. arosph.dk
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Brow Aging & Ptosis
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With aging:
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The medial brow height may increase or remain stable.
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The lateral brow height tends to fall, primarily due to lack of frontalis muscle support lateral to the temporal fusion line, and unopposed downward pull of the orbicularis oculi muscle.
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The lateral eyebrow is thus particularly vulnerable to ptosis (drooping) with age.
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Implication: Brow-rejuvenation should pay special attention to the lateral brow, not just the medial segment.
Gender, Ethnicity & Face-Shape Differences
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Gender: Men and women differ in skull/forehead anatomy and thus ideal brow aesthetics:
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Men: flatter, lower-set brows, less dramatic arch, more masculine contour.
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Women: more arch, slightly higher set, but still natural and proportional.
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Ethnicity: Studies show differences in brow height and preferred arch across ethnic groups. For instance, African American women had higher mean brows than Caucasians in one study.
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Face-shape: The ideal brow shape depends on the face outline:
Practical Guidelines for Brow Planning
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The medial brow should align vertically with the medial canthus (in typically spaced eyes) or be adjusted for wide/close-set eyes.
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The brow peak should lie between the lateral limbus and lateral canthus; younger patients often have a more lateral peak, older patients slightly more medial. arosph.dk
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The vertical distance from the lower margin of the brow to the upper margin of the palpebral fissure (eyelid opening) should be approximately equal to the height of the palpebral fissure itself.
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The lateral brow end should finish slightly higher than the medial end.
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Male patients should maintain a flatter, lower-set brow unless a more feminine look is desired.
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Face-shape-specific variation:
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Round faces: slightly more arch.
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Square/Angular faces: gentle arch, avoid sharp angles.
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Long faces: flatter brow to avoid elongating the face.
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Oval faces: the “classic” brow works well.
What This Means for Patients at Denver Eyelid & Brow Specialists
When you come in for a brow lift, upper blepharoplasty (eyelid surgery) or combined rejuvenation, here’s how we apply these findings:
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Personalised brow design: We evaluate your unique facial anatomy — eye set, brow height, face-shape, gender, ethnicity and ageing changes — and plan your brow position accordingly.
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Avoid the “surprised” or “angry” look: We avoid over-elevating the medial brow or over-arching the lateral brow peak, which research shows can lead to unnatural expression.
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Focus on lateral brow support: Because the lateral brow is most vulnerable to descent over time, we emphasise techniques that lift and support that area, rather than only the central brow.
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Harmonious brow-eyelid relationship: We ensure the brow height, eyelid crease and eye opening form balanced proportions — for example the guideline that the brow-to-eye distance should approximate the eyelid opening.
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Gender- and ethnicity-sensitive approach: We tailor the brow shape to male or female anatomy and discuss with you how your ethnic features might influence optimal brow placement and shape.
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Face-shape tailored: Whether your face is oval, round, square, or long, we select arch and end-point position to complement your overall facial geometry rather than applying a one-size-fits-all arch.
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Long-term planning: Because studies show that brow height may drift upward over time post-surgery (e.g., frontalis muscle pull), we plan conservatively — to avoid overcorrection today and an unnatural look later.
Why Choose Us in Denver?
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Comprehensive eye-region evaluation (brows, eyelids, forehead) all in one consultation.
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Evidence-based planning: we integrate cutting-edge research (like the Ding review) into our surgical design.
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Tailored results: not just lifting, but placing the brow in its ideal aesthetic zone for you — not someone else’s ideal.
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Minimally invasive options and advanced techniques to support long-lasting, natural brows.
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Transparent consultation: we show you where your brow is now, where we can safely move it, and how anatomy and ageing play a role.
Is a Brow Lift or Upper Blepharoplasty Right for You?
Consider reaching out if you have any of the following concerns:
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Your outer brow has dropped and gives you a tired or heavy-eyed look.
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You notice lateral hooding of the upper eyelid skin because the brow has descended.
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You’ve had eyelid surgery but your uplifted look still seems “off” because the brow shape or position is sub-optimal.
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You want the “brow arch” or eyebrow position improved but in a way that looks natural, youthful and balanced — not over-done.
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You’re a man concerned about maintaining a masculine eyebrow contour, or a woman who wants an arch that suits her face shape and ethnicity.
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Book Your Consultation in Denver Today
Let’s assess your brow and eyelid region, review your goals, and design a plan that aligns with the best available evidence and your individual features. Reach out to schedule a personalised evaluation at Denver Eyelid & Brow Specialists.
