Eyelid drooping - age 31. (photo)

Question

I'm 31 and have recently noticed one of my eyelids is starting to droop . Any advice is welcome ! Would simple Botox of the eyebrow help ?

Jason Emer, MD · Answer

With the right injection locations, you can lift the eyebrows with Botox which can help somewhat with droopy eyelids. I recommend Botox combined with lasers to give the best results. I suggest speaking to your injection physician about your concerns.  Best, Dr. Emer.

Francis Johns, MD · Answer

Thank you for your question.By looking at your picture, you could try to do Botox in the upper crowsfeet area to lift one side. It may help to raise the brow slightly, but you also have laxity of the upper lids.  The laxity of the upper lids requires a blepharoplasty, Botox will not help that. Also, if Botox is unsuccessful for raising your brow a temporal brow lift would be another option.

Carlos L. Wolf, MD · Answer

If you have never had a droopy eyelid, I would suggest you see an ophthalmologist or a neurologist. While a droopy brow can be improved with Botox, a droopy eyelid may be a sign of something more serious.  It may be simply a tear in your levater mechanism or it could be a neurologic,vascular or neuromuscular problem. If this is new see a doctor for evaluation.

Kenneth D. Steinsapir, MD · Answer

Any service that freezes the forehead will make this much worse.  What you need is a very careful upper blepharoplasty.  That is cosmetic upper eyelid surgery. Less is more.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, you may benefit from a left upper eyelid blepharoplasty.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their
results.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Jonathan Pontell, MD, FACS · Answer

Hi and thanks for the photo and question. I would need to see you in person to know for sure, but I think that we could get some improvement with Botox to lift your left brow, but a better solution would be a left upper lid blepharoplasty to remove some heavy extra skin over your left eye.  This is a quick simple procedure.  I would be happy to see you for a consultation as I am in the western suburbs of Philadelphia.  Good luck.  Dr. Pontell

Hardik Soni, MD · Answer

Thank you for your question. Botox is used cosmetically to remove wrinkles by temporarily paralyzing muscles. You can correct your droopy eyelid by having a Botox brow lift. This is a temporary option which elevates the brow and can pull up the eyelid a small amount. This procedure should be done by an expert with an understanding of facial anatomy. Best of Luck!

Shaun Patel, MD · Answer

Botox can provide a 1-3 mm eyebrow lift in most patients. This would be a good option to start out with. However, you will probably, at some point, need to consider surgical correction (blepharoplasty).

Paul B. Johnson, MD · Answer

There are many causes of a droopy eyelid - including neurologic, mechanical, and age-related conditions.  I would recommend seeking the opinion of an experienced oculoplastic surgeon.  If your droopy eyelid is determined to be age-related, you can consider both surgical and non-surgical options.  As you mentioned, one non-surgical option is the Botox brow lift.  Your surgeon will be able to advise if this treatment would be right for you.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question brandibreakfield85. I am sorry to hear about your situation. Botox is
a purified protein used to address wrinkles associated with facial expression. There are multiple options for droopy eyelids. A simple one is to have a Botox brow lift. This is a temporary and conservative option which elevates the brow and can pull up the lid a small amount. Laser skin tightening and other skin tightening modalities can also be used to tighten the eyelid skin and improve a droopy eyelid. The most invasive, but most permanent, treatment is a surgical blepharoplasty. For my patients I recommend that they start with a conservative option first to see how it goes. If further improvement is desired a more aggressive approach can be taken later. Please consult with
a doctor for specific recommendations. Good luck!

Eyelid drooping - age 31. (photo)

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