Lee Robinson, MD (retired)

A revision of this scar would be the best option.  Many surgeons include revisions in the cost of the original surgery.  I would recommend seeing the surgeon that performed your original proceedure to see if that is the case.

Latisse prolongs the growth cycle of the lashes with maximun results in 16 weeks.  You lashes will revert back to their original condition if you discontinue its use.  Some clients have had success reducing their application to two or three days a week after reaching the desired results, but this varies per individual. You could certainly give it a try and if you see a reduction in lash lenght and volume, return to daily use.

It is unlikely that after two treatments that more Botox would give the desired result.  Botox works by weakening the muscles that cause "dynamic" wrinkles or those that occur when we move the face.  Over time with increased laxity of the skin and continued expression, these wrinkles become "static" and remain when the face is in repose.  Botox may soften these lines but it is unlikely that it will completely eliminate them, especially if the skin in the area has become what we call "redundant" or too lax.

Tylenol has no effect on Botox before or after treatment.  Asprin and other non steroidal anti inflammatories can increase the risk of bruising and should be avoided for at least a week prior to and 48 hours after any cosmetic treatment or surgery.

Botox would be a better alternative in this area.  Hyaluronic acid fillers can cause swelling and discoloration in the lower lids that can potentially last a long time.  This type of filler material absorbs water and if injected diffusely in the lower lid tissues, it will often look abnormal.