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Botox or Mini-brow Lift for a Young Person with Droopy Eyelids?

asked 2 years ago by 6109anon in Boston,MA
Latest answer by Brian Maloney, MD
Question viewed 1,990 times
Tags: eyelids, droopy

I am 22 years old. I don't think I am over-reacting but I noticed recently my eye lid is a little droopy. My eyes are proportional and I don't have vision problems. My eyelid is also visible. I also have dark skin. So, what would be the best procedure or recommendation to combat my droopy eyelids? Botox? A mini brow lift?

16 answers to Botox or Mini-brow Lift for a Young Person with Droopy Eyelids?

When to treat Droopy eyelids

Heaviness in the eyelid area is a genetic condition. I see alot of people of Irish, English, Northern European ancestry come in at young ages because of heavy eyelids. It sound as if this process is just beginning for you. Most people begin to look at treatment options when; 1Eye make up becomes difficult to apply or maintain 2 Eyes begin to look tired 3 The eyes feel heavy from the excess weight building up on them 4. The upper eyelid is itch alot, due to the overlapping... more

Brian Maloney, MD
Atlanta Facial Plastic Surgeon

Botox vs brow lift for droopy eyelids

The picture that is presented does not show any droopy eyelids. The upper lid is at the normal range heading across the upper iris. You do not need a brow lift, but may want to try Botox. You have a small amount of scleral show on the lower lids, which is sometimes normal.

William Portuese, MD
Seattle Facial Plastic Surgeon

At 22, Botox before surgery

The picture provided does not show droopy eyelids. However, it would be very difficult to recommend surgery over Botox in a a 22 year old patient. A subtle brow elevation can be achieved with Botox. If you don't like it, the result will be gone in 3 months.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

To raise your eyebrow to see more upper lid a Brow Lift will be best

To raise your eyebrow to see more upper lid a Brow Lift will be best. Your eyes look fine, but your eyebrow and forehead are descending a little. Botox is a simple solution, but only will do a little bit. However, a brow lift (and not a 'mini brow lift') will really raise the hanging eyebrow tissue so that you can see more of your upper lid. I have done this in young patients, but you have to be sure before surgery that you like the way it will look. Find a... more

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Droopy Eyelids

Your picture does not show droopy eyerlids - they are in good position. If you are concerned about sagging eyebrows a browlift can be done, but I recommend Botox first so you can evaluate your appearance with a temporary treatment.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Botox for lifting eyelids

Your eyelid doesn't look like its lower and at 22 years old that would be very rare. I wonder if you have swelling that is bringing your upper eyelid into a new position. There can be metabolic conditions and hormonal irregularities that create such findings. See a general physician first to make sure your thyroid and other systems are in balance.

Ronald Shelton, MD
Manhattan Dermatologist

Lift with Botox (or Dysport)

I would consider a tiny botox injection in a certain spot under the eyebrow to give you a nice eyebrow arch by "lifting" your upper lid.

Vic J. Khanna, MD
Chicago Dermatologist

Drooping lid

You do not have a drooping eyelid based on the photo provided. Most patients who call this a drooping lid are really referring to seeing less of their upper lid. What is called the lid fold descends downwards as we get older. The two easiest and safest options to improve this are: 1. Botox to raise the brow. 2. A filler such as juvederm or fat transfer to restore volume to the brow. Restoring the volume will lift the fold higher and you will see more of... more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Botox For Young Droopy Eyelids

It is better to try Botox to give a mild brow lift as opposed to a brow lift. 22 years old is very young for a browlift. You also need to be very clear about the term droopy eyelid. In medical terms it can be 'ptosis' which is the lid covering the pupil more than it should. In your case it seems more to be a lower eyebrow causing more skin bunching in the upper eyelid. So a more appropriate term would be 'droopy brow' Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Botox versus Mini-Browlift

Based on your photo and your age, I would not recommend any surgical procedures at this time. Mini-browlifting is helpful in cases where there is true drooping of the lateral, or outer portion of the brows. This is not an issue for you, as your brow has a gently arched shape which is aesthetically favorable. If you notice increased drooping as you age, Botox treatments may be helpful to give a lift to the brow area. The obvious advantage of Botox over surgery is... more

Pamela B. Rosen, MD
Coral Springs Plastic Surgeon

Botox will not correct a droopy eyelid

The picture you submitted is rather dark but from what I can tell your upper eyelid appears to be at the correct level. If you truly have a problem with a droopy eyelid then the condition you have is called ptosis which is related to a weakened muscle in the upper eyelid. I would not suggest doing any type of lift (Botox or brow lift) if this is the problem as neither will correct the problem. I would suggest seeing your ophthalmologist or an occuplastic surgeon who... more

Arnold Zweig, MD
Atlanta Facial Plastic Surgeon

BOTOX is perfect for this

What you have here is the eyebrow crowding into the upper eyelid space. I have a patent pending Microdroplet BOTOX method that specifically lifts the eyebrow creating a very natural forehead lift effect. This method is very popular with young people who what help but also need a very natural results. You can learn more about the method at my website.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox for droopy eyelids

Botox can be an effective non-surgical solution for subtle sagging of eyelids in the younger patient. Your photo does not indicate the need for surgical intervention, and a brow lift may potentially create unwanted changes in your facial expression.

Randy Wong, MD
Honolulu Plastic Surgeon

When Eyelid Drooping is NOT Drooping

If you open most fashion magazines and look at the hundreds of beautiful models' eyes you will notice that minimal brow descent and a slightly deeper upper eyelid crease is desirable NOT something to be erased or lifted. This notion is hard to convince some people of who may be used to that surprised / overly arched brows which signals the done look from across the room. from what I see I would recommend you do nothing. In minor cases of brow descent, a chemical brow lift can be... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Botox or mini-brow lift for a young person

Thanks for the question but the photo is to close up. Need to see both eyes and forehead in a full facial frontal view. My guess is to try Botox first to see if the result is what you would like, before going for any surgery. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Botox can be very good for younger people with droopy eyelids/eyebrows

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... more