Caroline W. Vargason, MD PhD

Hi - thank you for the question. Your right eyelid looks droopy in the photo & this cannot be fixed with Botox. I recommend evaluation by an Oculoplastic Surgeon to determine the cause of the droopy eyelid & offer treatment options.

Best wishes from Boise, Idaho! -Dr. Caroline Vargason @cveyeplastics

Hi! Thank you for the question. Treatment depends on the cause of your eye bag. Also hard to evaluate without pre-chalazion photos. Your lower eyelid bag is either swelling or a fat pocket. Residual swelling one year after chalazion removal is rare. Swelling can be disguised by filler. A fat pocket can be removed surgically with a hidden incision on the inside of the eyelid. An in person consultation with give guide you to the best option. 

Best wishes from Boise, Idaho!

Dr. Caroline Vargason @cveyeplastics

Hi - thank you for the question! Unfortunately ptosis cannot be corrected with wrinkle relaxers (Botox/Dysport/Xeomin) or filler. I cannot comment on your specific situation without a photo.

Subtle changes in brow position with wrinkle relaxers can improve the perceived appearance of lid symmetry. The more of your eyelid platform (place where you apply eyeshadow) is seen, the more “droopy” your eyelid appears. If you pull up on the eyebrow on the LESS droopy side & like this appearance, Botox may possibly help.

I recommend seeing your ptosis surgeon or someone very experienced with ptosis surgery.

Good luck from Boise, Idaho - Dr. Caroline Vargason @cveyeplastics

Thank you for the question. There are different forms of eyelid twitching. If your twitch is only one lid, then it is called myokymia & can be treated with Botox, Dysport or Xeomin. Since myokymia can be temporary, the injections are not often needed every 3-4 months, and in some cases repeat treatment is not necessary.

I recommend seeing someone experienced with evaluating & treating facial twitching or spasms — an Oculoplastic Surgeon or Facial Plastic Surgeon.

Best wishes from Boise, Idaho. -Dr. Caroline Vargason

Hi - thank you for your question. The shape of your eyebrows at the outer edges, towards your ears, gives you a sad eye appearance. I recommend Botox injections to lift the brows; the injections will need to be repeated about every 3 months. If you like this look & want a more permanent solution, a surgical brow lift can achieve the same look. An upper blepharoplasty will give you a larger space to apply eyeshadow but will not change the overall “sad” appearance you describe. I recommend a consultation with an Oculoplastic Surgeon in Chicago.

Good luck from Boise, Idaho,

Dr. Caroline Vargason @cveyeplastics