When I smile or laugh, my under eye pads are very uneven (very prominent under my right eye and I’d like it to match my left), and I’m wondering the best cosmetic procedure to correct this? Is Botox sufficient or would lower bleph fat repositioning be the best (or something else)? See photos when I have no expression, when I slightly smile, and when I smile intently.
Answers (3)
From board-certified doctors and trusted medical professionals
On the picture that you have submitted, I don't see scleral show, but some lateral bowing of your lower lid margin. A lateral canthopexy could correct your issue. It is a permanent procedure. This means that the result should last many years.
Are you sure you didn't get Botox injections? Tretinoin doesn't cause arching of the eyebrows. If is is Botox related it is easily corrected by injecting Botox in the forehead to drop the arched brow.
It is possible to give you a crease that is higher and more symmetric with a revision upper eyelid surgery. During the surgery a small amount of fat will be removed, and your crease will be formed and set at a bit higher. If you want the best idea of what is possible for your eyes, do your due...
