Lake Forest Botox doctors

Botox has been shown to make headaches better not worse after use in the forehead.  I would not expect pain after botox treatment.  You definitely want to see you doctor after treatment, both to make sure there is nothing unusual going on (often unrelated to the treatment) and to make sure you have an appropriate result and response.

Smile lines around the eyes or squint lines can be diminished with the strategic use of botulinum toxin type A, otherwise known as Botox or Dysport.  The goal is to relax the constricting muscles along the sides of the eye and in some cases the cheek lifting muscles.  It takes a lot of good experience, by the person doing your treatment,  to do this well because you don't want to end up with a weak smile, a known risk.  Ultimately, you want to start with a very small dose and slowly building up to your desired effect to minimize the risk of relaxing things too much.  This is a procedure that can be done relatively inexpensively and last for 3 to 6 months.  Make sure to find a plastic surgeon or dermatologist who is a member of the physicians coalition for injectable safety to minimize the risk of the procedure.  

I am not able to give a definite recommendation based on the picture provided, but in general I can give some thoughts for you to consider.  In a younger person, especially with minor droop of the eyebrow, leading to droop of the upper eyelid, botox can be very safe and effective.  In particular, botox injected by an experienced injector (ask for photo examples!!) can effectively raise the area and give a very nice refreshed look.  

Surgery may be a bit aggressive at 22 years of age, but each case is unique and there may be some clear advantages with surgery - a one time permanent correction for birth defective issues-, but you must consult with a very experienced surgeon with experience in skin of color and eyelid surgery.