What's causing drooping? What can I have done to fix this?

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment- especially since there are no pictures included here. There are both surgical and non-surgical options to correct excess upper eyelid skin, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

Unfortunately the photos you submitted did not post. Depending on the location of your Botox injections, a droopy eyelid could result. This effect is temporary and will improve over time. If it is unrelated to Botox there are several treatments to refresh the eyes depending on the cause. See a board certified plastic surgeon near you to learn more.

Your photographs apparently did not come through on your post. The skin of everybody’s upper eyelid can appear to become more prominent after weight loss and aging, However, the issue is actually not an increased amount of skin, it’s deflation of the volume underneath the skin of the upper eyelid that makes the skin look loose and hang. For most people a skin only blepharoplasty, maintaining all the volume underneath the skin, rejuvenates the upper eyelid by maintaining the full, plush volume that is the hallmark of youth. You’re asymmetry is not surprising as virtually everybody is asymmetric in their appearance. I doubt Botox of your crows feet would worsen this, as usually this elevates the lateral portion of the brow and reduces the appearance of excess skin in the upper lids. A skin only blepharoplasty of your upper eyelids can be done in the office, under locally anesthesia and has a very rapid easy recovery. Speak to your plastic surgeon about this option. Best wishes.