Upper Blepharoplasty after Botox Brow Lifts?

Hi! I am 31 year old female and my upper eyelids have been getting lower. I could see the eyelids in pictures taken about 7 years ago but not anymore. I have been getting Botox for about 3 years now and don't know if this has weakened my forehead muscle causing them to droop more or if it is just my genetics.

My Dr who does my Botox is one of the best around but my brows only responded to a Botox brow lift slightly. Should I go for a tissue sparring upper Blepharoplasty (just skin no fat or muscle)?

Upper Blepharoplasty after Botox Brow Lifts?
4 answers to “Upper Blepharoplasty after Botox...”

A: Upper blepharoplasty creates deeper fold on eyelid compared to tissue sparing blepharoplasty

William Portuese, MD

The Botox can certainly weaken muscle if it has been consistently performed over the last three years. This combined with the aging process will have brows descend downward, giving the eyelids the appearance of being saggy. A skin-only blepharoplasty would be an acceptable alternative for your upper lids... more

A: Upper blepharoplasty

George J. Beraka, MD

Hi! 1)  You will do well with an upper blepharoplasty.  But you have a lot of hooding, and some muscle needs to be removed as well as skin. 2)  You do not need a brow lift.

A: You might look better letting your Botox wear off

Kenneth D. Steinsapir, MD

Dear Samnic1 In your photo, your forehead appears over BOTOX'd. There are no lines and yet your upper eyelid folds hang into the eyelid space.  A true forehead lift with BOTOX is possible (look at lidlift.com microdroplet BOTOX) but one really needs to understand anatomy to get this effect. On the other... more

A: Botox Browlift can only do so much

Jonathan Sonne, MD

Botox can provide a nice, non-surgical, elevation to the brows. However, this treatment can only do so much. For those who have too much excess skin, Botox may not be enough. In my experience, patient who have skin resting on their eyelashes may require a more aggressive treatment -- an upper lid... more

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