Hello I am 25 years old and have dreaded hooded eyes and low brows. Hooded eyes do run in the family I also have had some weight gain in the past and now have lost of about 65lbs. I now weigh 135lbs. I describe my eyelids as almost webbed in between where corner meets nose area. I have heard of botox brow and eyelid lifts to help this problem can this work for me? Or is major surgery my only option. Any information would be helpful. Thanks, Bree
January 24, 2014
Answer: Two issues.... You have mentioned two concerns here and I'll address each separately: 1. You mention that you have hooded eyes and low brows. I agree with you that you have a low eyelid crease which extends medially into the "webbed" area [called epicanthal folds]. This does not allow your eyelid platform to be very visible. I do not necessarily agree that you have low brows however. You do not have an overly high, arched, eyebrow, but this is quite a normal variation. If you aesthetically prefer a higher arch to your brows, then botox would give you that subtle improvement.If you would like get more of your eyelid platform to be visible, and the botox does not seem to give you enough of that, then a very conservative skin only blepharoplasty would improve the eyelid platform show.This however, may make your webbing, slightly more pronounced.I have attached a photo of a young patient [21 years old] for whom I performed a conservative blepharoplasty to improve her eyelid platform show2. Webbing- as I mentioned above, this is technically called an epicanthal fold and is often present in the Asian or Native American ethnicity. It can be surgically improved, but as mentioned by others, it will leave a scar. I do not recommend surgery for this. Good luck
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January 24, 2014
Answer: Two issues.... You have mentioned two concerns here and I'll address each separately: 1. You mention that you have hooded eyes and low brows. I agree with you that you have a low eyelid crease which extends medially into the "webbed" area [called epicanthal folds]. This does not allow your eyelid platform to be very visible. I do not necessarily agree that you have low brows however. You do not have an overly high, arched, eyebrow, but this is quite a normal variation. If you aesthetically prefer a higher arch to your brows, then botox would give you that subtle improvement.If you would like get more of your eyelid platform to be visible, and the botox does not seem to give you enough of that, then a very conservative skin only blepharoplasty would improve the eyelid platform show.This however, may make your webbing, slightly more pronounced.I have attached a photo of a young patient [21 years old] for whom I performed a conservative blepharoplasty to improve her eyelid platform show2. Webbing- as I mentioned above, this is technically called an epicanthal fold and is often present in the Asian or Native American ethnicity. It can be surgically improved, but as mentioned by others, it will leave a scar. I do not recommend surgery for this. Good luck
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January 22, 2014
Answer: Look into microdroplet botulinum toxin. This method creates a forehead lift while preserving forehead movement. Rena Wong, M.D. a plastic surgeon in practice in Normandy Park near SeaTac performs Microdroplet BOTOX in the Seattle area. I actually think you might benefit from being assessed for upper eyelid ptosis which is upper eyelid heaviness. Typically when this is corrected, it is appropriate to also remove a small amount of upper eyelid skin. Regarding the inner web, this is called an inside fold. The web could be removed by this can leave visible scars on the face. For this reason, removal of the medial epicanthal fold is not recommended.Remember what you are looking for really is about aesthetics not about age.
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January 22, 2014
Answer: Look into microdroplet botulinum toxin. This method creates a forehead lift while preserving forehead movement. Rena Wong, M.D. a plastic surgeon in practice in Normandy Park near SeaTac performs Microdroplet BOTOX in the Seattle area. I actually think you might benefit from being assessed for upper eyelid ptosis which is upper eyelid heaviness. Typically when this is corrected, it is appropriate to also remove a small amount of upper eyelid skin. Regarding the inner web, this is called an inside fold. The web could be removed by this can leave visible scars on the face. For this reason, removal of the medial epicanthal fold is not recommended.Remember what you are looking for really is about aesthetics not about age.
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