Alternative to Eyelid Surgery and Botox?

Hi Suebb, Your lateral eyebrow can be elevated by injecting filler (Restylane, Juvederm, your own fat) in the proper location and using the proper amount. As others have stated, using the right amount of Botox in the appropriate muscles, a pharmacological eye brow lift can be attained. Lastly, fractional CO2 laser treatments (Fraxel re:pair, Total FX ) can be used to take years off the appearance of the peri-orbital area (your eyes look younger) by tightening loose eyelid skin. Choose your... more

Botox can be given to women with droopy eyelids if it is given by a qualified surgeon who is very knowledgeable of the anatomy in this area. The treatments need to be made above the level of the first horizontal wrinkle, about 1.5 centimeters above the level of the brow. Matter of fact, botox in my practice is often used to raise the brow if delivered in the lateral brow. You need to find a plastic surgeon who sees complicated issues on a daily basis. Having said this, the most appropriate... more

Whenever the brows droop due to Botox it's a sure sign that surgery is needed. I am very weary of injecting Botox on women with laxity of the forehead skin and aging that will cause them to have brow droop and thus vision interference. It sounds like the most appropriate surgery for you would be a brow lift. This would flatten out the forehead and elevate the brows this giving you the result you're looking for. An endoscopic brow lift is not that invasive and has only about a week of... more

Dear Suebb You ask a very good question and many people have the same issue- Botox has been given and their eyebrows drop!!!! It is important that the Botox is placed carefully to help lift the eyebrows- careful balancing which may take a couple of treatments. This can be combined with some shaping of the eyebrow to add volume and lift the eyebrow- fillers such as Retylane, Radiesse and Sculptra (recently approved for comsetic use by the FDA). Thermage is a device that heats the deep... more

Dear Sue Most doctors don't understand how to use BOTOX to modify the relationship between the forehead lifting muscles and the muscles at the eyebrow that pull the eyebrow down. Where your eyebrow sits is a tug of war between these two sets of muscles. When doctors inject BOTOX into the forehead, this paralyzes the forehead. The results is a smoother forehead with fewer lines. However, as you have come to recognize, you pay a big aesthetic price: the forehead falls. This is because the... more

The solution is to give small amounts of Botox and stay above the eyebrow by at least 1.5cm. This leaves a portion of the frontalis muscle (that lifts the brows) un-paralyzed and can lift up the brows to some extent. You can also do Botox in the crows feet and extend a small amount to the lateral (on the side) eyebrow which will help lift the eyebrow and open the eye a little bit. Regards

If you main issue is brow ptosis (drooping of the eyebrow). BOTOX can help. BOTOX is very effective at lessening or eliminating mild wrinkles in the forehead. You can usually accomplish this without necessarily causing the brow to drop as long you do it in the correct manner. It is true that you can acheive a chemical browlift as well, but usually this effect is very minimal 2-3mm at the most. Mild rhytids and large pores can also be addressed by fractionated laser resurfacing as well.... more

If you have excess eyelid skin and do not want to have surgery, you may want to consider trying Botox to produce a chemical brow lift. This is moderately effective and really depends on your anatomy. However, there are muscles that work together to keep your brow in place. If the muscles that are pulling it down are blocked with Botox, then the brow may lift a little and stretch out the skin that is on your upper lid. Good luck.

It sounds that you have a case of "lateral brow ptosis", where the outer "tail" of your eyebrow is starting to drop; this is a very normal condition and occurs earlier in individuals who are born with narrow eyelid folds. When a Botox injector doses the product too low on the lowest horizontal line, the toxin blocks your ability to elevate the brow and you feel heaviness of the eyebrow or a flattening of the shape, making you appear "tired". I would suggest a)... more