Neel Kumar, MD

Thanks for the question. From the photos it looks like you have mild brow asymmetry (your right side is lower than the left), along with right upper eyelid ptosis (drooping), and a deep sulcus/hollowing above both your eyelids. 

The hollowing can be treated with injectable fillers or fat if it truly bothers you.

If you're looking for temporary, non-surgical, options many people have found that the eyelid position can be improved using prescription eye drops (iopidine or brimonidine)...but this is only a temporary treatment. Long term results would require surgery.

I would suggest you have an evaluation by an experienced oculoplastic surgeon to see if you're a candidate to have surgery on the back side of your eyelid so that there is no scar. If you're in the Houston area, Drs. Charles Soparkar & James Patrinely are both very experienced and highly respected. 

Your swelling and bruising looks appropriate for one week. It's very common to get swelling and eyelid drooping (ptosis) after having a surgical procedure. The postop swelling from the surgery creates extra weight on your eyelid and weighs it down to cause a droop. This should continue to improve each week and a lot of the swelling will resolve within the first month. However you may continue to see improvement in the lid height for up to 3-6 months after surgery. Continuing to follow up with you surgeon for repeat examinations while you're healing. Best of luck.

It's difficult to fully evaluate your situation without seeing photos and directly examining you, but it's very common to get swelling after having a surgical procedure. The postop swelling from the surgery creates extra weight on your eyelid and weighs it down to cause a droop. This should continue to improve each week and a lot of the swelling will resolve within the first month. However you may continue to see improvement in the lid height for up to 3-6 months after surgery. I'd suggest continuing to follow up with you surgeon for repeat examinations while you're healing. Best of luck.

Sorry to hear about your situation. Having drainage w a "foul odor" is atypical and could be the sign of an infection. I would suggesting following up w your surgeon so he can evaluate the situation and your concerns. Best of luck.

Sorry to hear about your situation. Once in a while Botox can diffuse into the levator muscle that lifts the eyelid and cause drooping. The good news is that this is reversible, but this can take 2-4 months to completely resolve and go back to your initial baseline.

If a doctor believes the droop is due to the Botox, no treatment is necessary and this will spontaneously resolve with time. Many people have found that the eyelid position can be temporarily improved using prescription eye drops (iopidine or brimonidine). 

This can happen with any well trained injector, but it's important to make sure your injector underwent extensive training and has a good anatomic knowledge. Be sure to mention this prior to you're next injection so adjustments can be made to help minimize your future risk. Best of luck!

Glad you see you're seeing results! The effects of botox continue to improve over the first two weeks so you'll likely continue to see improvement. If this is your first treatment in the forehead (or with this injector) it's possible you may want additional treatment(s) to take care of any residual wrinkles. Just be aware that botox in the forehead can also lower your eyebrows since your forehead muscles (the frontalis) can no longer lift them up. I'd suggest following up with your injector 2 weeks after treatment to address any additional concerns you may have. Enjoy the product!

Thanks for the question. Ptosis (or droopy eyelids) can give the appearance that someone is tired. Unless it's due to medical conditions, this will usually have a gradual onset and people will unconsciously compensate for it by lifting their forehead or tilting their head back. If it's affecting the upper parts of your peripheral vision enough, the surgical repair may even be covered by your insurance. 

It's difficult to see how much (or if) you have ptosis from the photos. I would suggest following up w an Oculofucial surgeon who specializes in surgery on and around the eyes so that you get the best evaluation and results. Best of luck.

Thanks for the question and sorry to hear about your injury. It's difficult to fully evaluate the severity of your injury without directly examining you (and the location of your eyes relative to each other) along with the CT scan. Some orbital fractures do not require repair and can be observed. However fractures that are large, have a large degree of displacement (are not well aligned), cause diplopia (double vision), or cause the eye to fall back (enophthalmos) should be repaired. If surgery is necessary, it is typically best to repair these within a couple weeks after the injury. I would suggest following up with a university based surgeon who specializes in facial plastic surgery and reconstruction (i.e. an oculoplastic surgeon) for the best evaluation and treatment result. Best of luck. 

Thanks for the question. As you mentioned, your photos show that the portion of your eyelid just above the lashes is covered which would make it difficult to apply (and maintain) makeup. An upper eyelid cosmetic blepharoplasty to remove the excess skin/muscle/fat and recreate your eyelid crease would certainly help. If you wanted to try non-surgical options, you could consider botox for a chemical brow lift and see if that helps. Either way, I would suggest seeking consultation with someone who is well trained and specializes in oculofacial surgery to get the best evaluation and treatment options. Best of luck.

Thanks for your question. Neuromodulators (Botox, Dysport, and Xeomin) can all be used to selectively weaken facial muscles. As you mentioned, the photo appears to demonstrate that your right brow is higher than your left. Neuromodulators can be administered to either lower the right brow (with injections in the forehead) or slightly elevate the left brow (a "chemical lift"). This should help minimize the assymetry. While the neuromodulators are frequently given to address brow assymetry, you should know that this is an off label (not FDA approved) use of the product. As with any procedure, be sure your injector has undergone extensive training to help achieve the best results. Best of luck!