Where should I ask for Botox to fix a slightly droopy eyelid? (Photo)

Question

I’ve never had any botox, however I have one eye that droops slightly (left eye in the photo attached), and I’m wondering if Botox could lift it up slightly? If so, where would the Botox need to be placed / what would I ask the practioner for?

Kenneth D. Steinsapir, MD · Answer

Your photograph shows that you have mild bilateral central levator ptosis with a compensatory brow elevation. There is a method described of injecting a very small amount botulinum toxin (1-2 units) along the edge of the upper eyelids at the eye lash base. This weakens the muscle that closes the eye. The challenge you will have is that this is not a standard technique. The dermatologist who responded to your question does not seem to even know about this treatment. In my opinion, it is not reliable or reproducible. The service when it works does not last very long. It can also weaken eye closure and contribute to dry eye. Upneeq is a prescription eye drop that opens droopy eyelids about 1 mm. It is very expensive but is FDA approved to provide temporary relief of upper eyelid ptosis. Eventually you will benefit from surgery to address your upper eyelid ptosis.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Botox can sometimes create a slight lift for a mildly drooping eyelid or brow, depending on where the asymmetry originates. If the droop is from the brow rather than the eyelid itself, precise injections into the orbicularis oculi muscle (the one that pulls the brow down) can relax that downward pull, allowing the frontalis muscle (which lifts the brow) to raise it slightly. You’d want to ask for a subtle lateral brow lift. I hope this helps!

Zoran Potparic, MD · Answer

It appears that you may have very mild eyelid ptosis, droopy eyelids, on both sides. In person consultation with an experienced plastic or oculoplastic surgeon would help to decide whether this is a real condition and how to treat it, if needed. Botox is not a remedy for this condition. Good luck.

Tanya T. Khan, MD · Answer

Hi, from the photo it appears you have some mild ptosis on both upper eyelids. This means that the lash line drifts into the pupillary line usually due to a lax muscle tendon. Botox will NOT address this. You may try Upneeq drops for temporary improvement but ideally may consider ptosis repair with an experienced oculofacial plastic surgeon. Please see oculoplastics for a thorough evaluation.

Anna Chacon, MD, FAAD · Answer

Hi, thank you for sharing your photo and concerns—it helps a lot to understand what’s happening. From what you’re describing, your left eyelid droops slightly, which is fairly common and can be subtle enough to consider non-surgical approaches like Botox.

Here’s what you should know:

How Botox works in this area: Botox doesn’t directly lift the eyelid itself—it relaxes the muscles around the eye that can pull the brow or lid downward. By carefully relaxing specific muscles, it can create a gentle lifting effect and help the eye appear more open.

Typical target areas: The muscles often involved include:

Crow’s feet/outer eye muscles: Relaxing these can reduce lateral pull on the eyelid.

Brow depressors (corrugator, procerus, or orbicularis oculi near the inner brow): Targeting these can allow the brow to rise slightly, indirectly lifting the eyelid.

Precision matters: Achieving a subtle lift requires very small, precise doses. Too much in the wrong spot can make the eyelid droop further or affect natural expressions.

What to ask your practitioner: You can mention that you have a slight eyelid droop and are interested in a “subtle brow/eyelid lift with Botox” to improve symmetry. Make sure the provider evaluates both the brow position and eyelid dynamics before injecting.

In short, Botox can help with mild asymmetry and a subtle lift, but placement and dosage are key to a natural result. The goal is relaxing the right muscles without compromising eyelid movement.

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