What Are the Effects of Botox on the Upper Eyelids?

When Botox is administered for crow’s feet, what effect does it have on the upper eyelids?

Does it lift the upper eyelids and make the skin less saggy, or does it have the opposite effect and create baggier upper eyelids? How long do the effects of Botox around the eyes last?

Doctor Answers 15

Effect of Botox on the eyelid

Injection of Botox to the crows feet typically does not affect the eyelid, but can raise the lateral (outer portion) of the eyebrow 1-3 mm. For lid laxity, a blepharoplasty +/- brow lift is the most definitive procedure. Some contraction of upper eyelid skin can, however, occur with a regional phenol chemical peel.

Crows feet injections with Botox should not make the eyelid sag (unless injections are inappropriately close to the upper eyelid). The effects last 3-4 months in most individuals.

San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Botox effects on upper lids

Thank you for your question. Shaping the brows is one my favorite parts of using Botox. It requires a very detailed understanding of the underlying anatomy as well as assessing each individual while they are animating their brows. By carefully placing Botox in the muscles that depress the brow, you can cause the brow to rest and relax in a lifted position. There are limits to how much you can lift, and for some surgery is better option. Incorrect assessment or placement can also lead to the reverse effect, so overall technique is critical. You can also shape the brow different. For example, you can raise the tail of the brow vs creating a raised arched brow vs creating a raised horizontal brow. It depends on the individual's desired brow aesthetic goals. I would consider this a very advanced technique so I would query your injector on their experience in this area.
In addition, the more lifting of the brows that you achieve with Botox, you will also find that it recruits some of the upper lid skin laxity.  It is a mild effect, but often noticed when putting on make-up.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 36 reviews

Botox Effects on Upper Eyelids

When Botox is injected for crows feet it can help lift the lateral brow while softening the lines around the eye. You should not see any significant effect on the eyelid.

Jeffrey Weinzweig, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 61 reviews

Botox on crow's feet

Depending upon how it was injected, it can lift the lateral brow a bit once it takes effect about a week after injection.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Eye Rejuvenation with Botox

There is definitely an art and technique to using Botox or Dysport to the eye muscles to soften fine lines but also creating a more refreshed appearance by lifting the brow, which in turn, will have a subtle effect on the upper lid. Of course, in some situations, a patient may be a better candidate for surgical intervention with blepharoplasty if there is much extra skin or laxity.

We encourage our patients to consider proper dosing of Botox around the sides of the eyes as well at key points to the lateral (outside edge) of the eyebrows to provide a sublte lift. By dosing the muscles responsible for frowining as well, we are able to achieve a nice, subtle lifting effect to the medial (inner) brows.

We have captured this effect in the link below.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Botox can raise the eyebrows

When Botox Cosmetic is injected for crow's feet, it can help raise the lateral brow, which stretches out the skin of the upper eyelid. You do not want the Botox injected into the eyelid itself, since this will lead to ptosis or drooping of the eyelid.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Botox can raise upper eyelids when properly done

When Botox is administered to the crow’s feet and in the lateral brow area, it will elevate the lateral 1/3 of the brow 1-2 mm. If Botox is injected in the medial aspect or head of the eye brow region, then a more uniform elevation of the brow is observed with the entire brow rising up 1-2 mm. The duration of Botox is typically 3-4 months.

If more eyelid elevation is desired, then an upper eyelid tuck (blepharoplaasty) may be required. If too much Botox is injected in the forehead region, then the opposite effect may occur with drooping of the brows. For your best results and safest outcomes, see a physician experienced in both facial aesthetics and Botox injections. I hope this helps!

Stephen A. Goldstein, MD
Englewood Plastic Surgeon

Botox can have indirect effect on upper eyelid

Botox could have an indirect effect on the upper eye lid;

1. If the Botox diffuses to the orbicularis muscle,the upper eye lid could be sagging.

2. If the Botox is injected just below the brow it will raise the outer brow which will help with some extra skin in the upper eye lid.

Hope that helps!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

No Effect On the Eyelids, Only On The Brows

If Botox is injected just under the lateral brow it can raise the brow slightly by inhibiting the muscle that closes the eye. This muscle opposes the brow muscle.

The only effect on the lid is usually a detrimental effect when Botox gets into the lid elevator causing a lid droop.

Unfortunately, you made need a blepharoplasty.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 33 reviews

Crow's feet Botox injection should not affect upper eyelids

When Botox is injected specifically into the crow's feet, you should not see much, if any effect on the eyelids. When the Botox takes effect, you should see softening of the wrinkles on the sides of your eye. To lift your upper eyelids and decrease sagging of eyelid skin, Botox is usually injected in the lateral region of the brow, not the crow's feet area. The effect of Botox in the eyelid and crow's feet area typically lasts 3 to 4 months. Hope this answers your question.

Anifat Balogun, MD
Seattle Otolaryngologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.