Non Surgical Help for Heavy and Uneven Eyelids? (photo)

Question

Hello. I am unhappy with my uneven eyes, but not so unhappy enough for surgery just yet. Are there any non surgical treatments that can improve the look of my eyes? Botox maybe? I don't know if this also matters, but I am in the process of losing weight. I have already lost 50 lbs. I assume I won't lose weight in my eyes, but in pictures of myself before the weight gain, my eyes looked a little more "open", not so squished within my now chubby face. Thank you in advance for your time.

Larry S. Nichter, MD, MS, FACS · Answer

Although blepharoplasty surgery is the only treatment that is long lasting there are a few things you can do that are of temporary help. Make sure you have an exam to make sure that you do not have weak eye muscles, ptosis, as your cause by an exam by a board certified specialist. Lower lids: Ceramide creams for the lower lids which in minutes as they dry the clear membrane tightens the lower lid skin minimizing bags and wrinkles. This lasts from 4-8 hrs and can be reapplied as needed. Radiofrequency, laser and peels tighten the skin with minimal downtime. Fillers for fat transfer #lipoinjection, to the lower lid to fill in the cheek-lid depression that casts shadows also helps many.For the upper lids, Botox in the crows feet area just below the brow will gently lift the lateral brow and lift a bit of the hooding on the side of your eye. This lasts about 3-4 months. Make sure you go to an expert injector associated with a Plastic Surgeon, Facial Plastic Surgeon, Dermatologist, or Ophthalmologist skilled in injections.#NonSurgicalEyelidRemedies

A.J. Amadi, MD · Answer

I would not be surprised that your weight gain made your face rounder and "more squishy". This can cause the regions around the eyelid to be more crowded.

	However, the anatomy you present in your photo reveals an uneven brow and full eyelids. A browlift would be your best option, when you are ready for it. I can't see your hairline in the photo, so can't really give you an opinion on what technique to use, but a hairline browlift, in my opinion, gives you the best long term lift, with minimal change of forehead length  [may actually improve it if you have a very high forehead]

Stephen Weber MD, FACS · Answer

Botox can be used to non-surgically reshape the eyebrows, creating symmetry without surgery. This is an advanced injection and should be performed by an experienced injector. I've found that this works incredibly well for certain patients but is less effective in others. It is worth a trial to see whether you like the effects. Certainly a browlift procedure will provide the improvement in symmetry that you're seeking when the time is right for you.
	Thank you for your question.Stephen Weber MD, FACS

Vincent N. Zubowicz, MD · Answer

The photography demonstrates excess fat and skin of the lids. Botox will not help. Upper eyelid surgery is very safe and gives predictably good results. In selected patients, it can be performed with a little IV sedation and local anesthesia.

Sam Goldberger, MD · Answer

Botox can be used to elevate the brows, although everybody's response is a little different. You certainly can try it and see how you respond and tweak it as needed. Botox lasts about 3-5 months so you will need repeat treatments.

Steven Wallach, MD · Answer

There are not too many options of non-surgical treatment.  Sometimes a little Botox under the lateral brow can help.  Also even a filler can elevate the brow a bit.

Darryl J. Blinski, MD · Answer

Thanks for the posted photo. I agree with the previous expert posters, at least you need a minor surgery - upper lid blepharoplasty.

Sandy Sule, MD · Answer

Looking at your photos, it appears that you have both heavy, uneven eyebrows as well as excess skin/fat of your upper eyelids. By far surgery of the upper eyelids would be the easiest way to address your concerns. It is safe, fast and well tolerated. However, if you are not ready for surgery, there are some non-invasive techniques that can help lift your eyebrow (Appearance) and help your appearance.

Matheson A. Harris, MD · Answer

It appears you have both excess upper eyelid skin and fat, as well as some asymmetry to the height of your eyebrows. The lower right eyebrow is pushing the right upper eyelid skin down as well. Eyebrow asymmetry is normal and expected in most people. An upper eyelid blepharoplasty with measured fat excision could nicely improve the appearance of your eyelids. A small internal brow elevation on the right could also be considered, but isn't necessary. There are ads around for laser treatments to tighten the upper eyelids, but I haven't been impressed with the real world results. Laser also does nothing to address the excess fat coming forward from the eye socket, which is the primary problem in younger patients with heavier upper lids.

Francis R. Palmer, III, MD (retired) · Answer

IMHO, your eyebrows are very low and unevenly so.  Eyelid Surgery isn't the answer and in fact will result in the eyebrows being even lower in position.  The surgical solutioon would be a Brow Lift of which the Coronal Brow Lift is the most reliable, IMO.  

	 Until you're ready for that, you could try Botox or Dysport to slightly raise the eryebrows or topical skin tightening therapies like Ulthera.  Just have realistic expectations and be sure the MD, you select, understands and follows the proper aesthetics of facial beauty for the craetion of a naturally, more attrcative face.

Non Surgical Help for Heavy and Uneven Eyelids? (photo)

Answers (13)