In a case where one eye starts to look larger than the other, it would be best to get a complete workup including a CT scan to rule out any orbital pathology. If there is nothing found, then it would be reasonable to do a combination of blepharoplasty and surgery on the muscle to either raise the lower eyelid, or drop the higher eyelid. Be sure that you consult with someone that has expertise in orbital surgery in addition to eyelid surgery. Best of luck!-Amar Singh
The mechanism of action for botox is to relax muscles and decrease their ability to contract forcefully. By placing botox in the forehead, the frontalis muscle doesn't contract. Since it functions as an elevator, by decreasing its ability to raise the brows, it can result in the brows becoming heavy or even drooping. This is mainly a function of how much and where the botox was injected. next time, you should let your doctor know about this experience and they will likely change the amount and placement.Best,-Amar Singh
From the photos you have posted, it would appear that you would be best served with a combination of fillers (placed with a mico-cannula) and tightening with a Thermage or a similar radiofrequency device. Whatever you decide, be sure to see someone with experience in treating this area.Best regards, -Amar Singh
