Can excess skin between brows after eyelid surgery be resolved?

I had upper and lower Eyelid surgery, Facelift and Botox on my forehead 3 weeks ago. I didn't want the Eyelid surgery but my doctor insisted. The eyelids are very droopy and there is a wide gap between my eyes, and sagging skin from the inner eye area and between my brows through upper bridge of my nose. I know I need to wait but what might my options be if this does not improve? I'm in my early 40's.

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You may also be interested in reading a related question, Extra baggy skin after Blepharoplasty.

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14 answers to “Can excess skin between brows after...”

A: Difficult problem to address

William Portuese, MD

If there is excess skin between the eyebrows this is a very difficult problem to address. A forehead lift can be performed usually only if there is preexisting low eyebrows. The thin skin closest to the nose on the eyelids is very difficult to remove without dragging the incision too close to the nose, which... more

A: Botox and eyelid or eyebrow surgery

Raffy Karamanoukian, MD

Botox injections may influence results in the immediate postoperative period after Blepharoplasty. It sounds as though a brow lift was indicated at the time of your eyelid surgery but this can only be determined after the influence of Botox has worn off and the postoperative swelling subsides from your... more

A: Brow Lift

Christopher L. Hess, MD

If the distance between your eye appears to me worse now than when you were younger than there is an issue with the medial brows.  Botoxing the corrugator muscles (between the brows) will allow the brows to move laterally if there is laxity in the tissue.  This will give the appearance of wider eyes... more

A: Botox may have influenced or affected surgical result

Otto Joseph Placik, MD

I would highly agree with my colleagues that you may benefit from a forehead lift but It would be wisest to wait for the Botox to wear off (3-5 months) prior to making any final decisions. Stick with your surgeon and give it some time.

A: Too early to tell if a forehead lift is needed

Jeffrey Zwiren, MD

It is probably too early to tell if a forehead lift will be necessary.  The relaxation of your forehead muscles by the botox has clouded the overall situation.  As the botox wears off over the next 3 - 4 months you will need to be rechecked.  If the condition is still present then a brow lift... more

A: Generally not a good idea to have BOTOX and eyelid surgery at the same time.

Kenneth D. Steinsapir, MD

 Dear Notperfect You kind got the blue plate special here. It is quite possible that if you did not have both upper eyelid surgery and BOTOX at the same time you might be relatively satisfied with you results. It is very important to understand that when the upper eyelid fold is heavy, the brain sends a... more

A: You may need a brow lift in the future.

George J. Beraka, MD

Hi! The face heals quickly, and at 3 weeks, you should be looking better than what you describe.  Of course, I can't see what you look like, but unfortunately you may well need a touch up. Don't do anything for 6 months.  If you are not happy then, one of the various brow lifts may help.

A: Not perfect and not healed...yet

Kenneth R. Francis, MD

Dear Not, As you mention in your question, you have to wait.  The Botox treatments throw in an extra variable to support that dictum.  Now, you not only have swelling distorting things, you have the paralysis associated with the Botox treatments.  This would explain the lateralization of your... more

A: Swelling and Botox may be part of problem

W. Tracy Hankins, MD

The brows being far apart is likely due to the Botox.  Also the slight drop in the medial brow from frontalis paralysis which can happen with Botox may also be contributing.  Finally, you need to wait for the swelling to go down to see final result from upper lid blepharoplasty, especially if a... more

A: Extra skin is due to a loss of volume with aging

Philip Young, MD

This extra skin is a consequence of reductive type of surgeries. When you age, you lose volume and this contributes to the extra skin. Upper eyelifts / blepharoplasties take away skin and that usually leaves skin elsewhere. It won't end. A better way to rejuvenate the upper eyelids is to volumize the whole... more

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