Eyelid looks wonky as the day progresses, can Botox/eyelid filler fix this or is this a case for surgery? (Photos)

Question

As the day goes on, my left eyelid becomes droopy and sags. When I first wake up and throughout the morning it stays pretty "normal" but then starts to look wonky as the day progresses. Can Botox/eyelid filler fix this or is this a case for surgery?

C. Blake Perry, MD · Answer

Most commonly a droopy eyelid (ptosis) is repaired with surgery to tighten the muscle. It is important to have an in person consultation to determine the exact cause of the ptosis as there are numerous. Best to see an eyelid expert.

Eric M. Joseph, MD · Answer

Ptosis is a condition where the upper eyelids are droopy. This may be a bit more prominent on your left compared to your right. The best advice would be to consult with a reputable oculoplastic surgeon to see what your options are moving forward. Thank you for your question. Sincerely, Dr Joseph

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. The drooping and sagging of your left eyelid that worsens throughout the day could be indicative of several underlying issues, such as eyelid laxity, muscle fatigue, or even mild ptosis. Botox and eyelid fillers might offer some temporary improvement but may not fully address the root cause, especially if there is significant muscle weakness or structural changes. Botox can be used to treat certain types of eyelid droopiness by relaxing the muscles around the eyes, but it’s generally more effective for fine-tuning and addressing specific concerns rather than providing a complete solution. Eyelid fillers can help by adding volume and improving the appearance of hollows or shadows, but they won’t correct droopiness or sagging caused by structural issues. Given that the issue seems to become more pronounced as the day progresses, it may be worthwhile to consult with an ophthalmic plastic surgeon or a specialist in eyelid surgery. They can provide a comprehensive assessment to determine whether the sagging is due to a condition like mild ptosis, excess skin, or other factors that might require surgical intervention. Surgery, such as a blepharoplasty, might be necessary if there is significant structural laxity or muscle weakness contributing to the problem. I hope this helps and best of luck!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you so much for the excellent question. It is not uncommon for eyelid position to fluctuate throughout the day. If the eyelid begins to droop (ptosis), eyedrops called Upneeq can be used to elevate the lid. Consult an oculoplastic surgeon for comprehensive evaluation and treatment guidance. 
Good luck,

Mats Hagstrom, MD (license on probation) · Answer

Daily worsening of unilateral eyelid ptosis can be related to medical conditions affecting nerve and muscle function like myasthenia gravis.
Don’t jump to any conclusions, but you’re probably should get a work up for this period
Start by talking to your primary care doctor and ask for a referral to an Oculoplastic surgeon and or neurologist.
Best,
Mats Hagstrom MD

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Answer: What to do for an eyelid that changes during the day?

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Eyelid looks wonky as the day progresses, can Botox/eyelid filler fix this or is this a case for surgery? (Photos)

Answers (5)

Answer: What to do for an eyelid that changes during the day?

Answer: What to do for an eyelid that changes during the day?

Answer: Daily worsening of unilateral eyelid ptosis

Answer: Daily worsening of unilateral eyelid ptosis

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.