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Can Botox Help with Drooping Eyelids?

My eyelids sags a little so I look a bit tired. It isn't drastic however I want to look more alive and awake. Can botox help me look more awake? And what is the cost for botox treatment in NYC?

Doctor Answers (16)

Botox for Droopy Eyelids


Botox helps reduce wrinkles by relaxing facial muscles. Droopy eyelids may be due to excess or sagging skin, muscle, or fat. An eyelid lift or brow lift is the more common approach used by cosmetic surgeons to help treat droopy eyelids. Typically, Botox does not help with droopy eyelids. Botox has been used, however, to help raise the eyebrow a bit. Results are more subtle and temporary as compared to surgical facial procedures. However, Botox might improve your appearance to make you appear more awake and less tired. 

Speak with a plastic surgeon or dermatology specialist to help determine appropriate options for you. Best of luck.

Dr. Chaboki


Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Botox for droopy eyelids


Injecting the Botox into the muscles that pull the eyebrows down can give  a very mild lift to the eyelid skin itself. Its greater effect is in lifting the eyebrow higher, in doing that, the eyelid skin might be less droopy, but not a dramatic change.Also, if you inject the muscles that depress the brow in order to lift them, there will be some more visible wrinkling of the forehead as those muscles will now work unopposed.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.0 out of 5 stars 6 reviews

Botox and appearance around the eyelids.


I highly recommend that a patient try Botox for the crow's feet and the lateral temple area.  If you get acceptable improvement, no surgery needed.  If you desire more correction, see a plastic surgeon for a brow lift/ Blepharoplasty consultation.  Also, after surgery, many people still need the benefits of Botox for fine line wrinkling management.

H. Michael Roark, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 8 reviews

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Botox Plus Volumizing Fillers Work Well For Droopy Lids and Brows


Age-related loss in fat in and around the eyebrows, as well as photoaging-related losses in the quality and quantity of collagen and elastic fibers can lead to drooping, saggy brows and overhanging false eyelids (brow skin that hangs over the real upper eyelid below).  Botox, as well as Dysport and Xeomin (two other neuromodulators) when placed in tiny droplets under various areas of the eyebrows (differing places for men and women) can contribute to a slight lift of the brow that can help diminish sagging and droopiness.

The addition of a volumizing filler, such as Juvederm Ultra XC, into specific regions of the eyebrows (men and women differ on where they may need volume resoration and recontouring) and of the adjacent temple region, can futher enhance the lifting effect of the Botox and also contribute to a much longer-lasting result. The wonderful fact is that the entire treatment can be done in about ten or fifteen minutes.

Treating this region requires both medical expertise with the materials and an experienced esthetic eye. For this reason, you should consult with an injector that has done many of these procedures. Prices will vary according to the amounts of each material needed to achieve the desired results, but since small amounts are generally required, particularly of Botox, treatment usually fits most people's budgets and is quite gratifying. 

Nelson Lee Novick, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 13 reviews



If your eyebrows are droopy and your upper eyelids are saggy because of droopiness of your eyebrows you may look tired or aged.  In that case botox can elevate your eyebrows and the excess skin covering your lashes would be reduced to the point that the crease of the upper eyelids become more visible. The price of botox varies from state to state and cities to cities.  It should not cost more than $15.00 per unit.  You need to have at least 16 to 20 units of botox to achieve elevation of the eyebrows.  I hope this is helpful to you.

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 13 reviews

Botox brow lift


With proper use by an expert injector, botox can raise the eyebrows and elevate the sagging skin over the eyelids. This gives a more awake look.  If your lid (as opposed to you brow) is droopy, it would be wise to seek the opinion of an Ophthalmologist. 

Elizabeth Piantanida, MD
Colorado Springs Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox can help with drooping eyelids


When properly done, Botox can help drooping eyelids by doing what's known as an eyebrow lift. Treating both the glabellar region as well as the lateral part of the eyebrow will cause a slight elevation of the eyebrow known as an eyebrow lift. This will create an aesthetically pleasing arch in the eyebrow which can also help to make any excess skin in the upper eyelid become less apparent. An average treatment uses 20 to 24 units of Botox in the forehead and 2 units under the lateral aspects of each eyebrow making a total of 24 to 28 units for this treatment. Practicing in Vermont, I charge $10/unit ($240 to $280 total) which is significantly less than the pricing in NYC which can be as high as $25/unit.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Botox for droopy eyelids

If you have a small amount of upper lid sagging, Botox can improve your appearance. If the sagging is more pronounced or based on excessive skin in the upper lids, Botox may not be the treatment of choice. The best thing to do is to see a board certified plastic surgeon for a consultation. The important cost factor is the total cost rather than by the unit as some physicians charge less per unit but then quote a higher number of units required.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

Botox can lift the eyebrows


Lifting the eyebrows can take some of the extra skin out of the upper eyelids. Browlift with Botox can be quite pleasing, but the results a re a bit variable. Some patients get a better browlift than others. Droopiness of the upper eyelid itself (ptosis) will not be improved by Botox unless it is caused by the weight of the extra skin that a browlift can improve.

Jeffrey Schiller, MD
Staten Island Oculoplastic Surgeon
5.0 out of 5 stars 9 reviews

Botox can be used to lift the eyebrows


Often the eyelids start sagging not only from the looseness of the skin in the eyelids themselves but from loss of volume in the supporting structures.

Volume loss in the bones and soft tissues of the eyebrows will cause the brows to descend.  That will affect the eyelids as well.

Botox injections can help elevate the brows.  Adding a filler to bolster the tissues at the bone of the eyebrows will also help lift them.

However, if the descent of the brows is not what is causing your eyelids to droop, then blepharoplasty or fractional laser resurfacing of the eyelids will help make the tissue more firm and lifted.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.