Drooping upper eye (36 yo male). Would a blepharoplasty, brow lift or Botox be best for me?

You could benefit from a blepharoplasty and/or brow lift. Unfortunately Botox would not get you the desired effect. A blepharoplasty would remove the excess skin from your upper eyelid, opening up your eyes and removing the droop. A brow lift would raise your brows, which in turn would lift the skin from your eyelids as well. However, depending on how much you want to lift the brow, it may not remove as much of the droop as you would like. You would see significant improvement with just the blepharoplasty if you did not want to change your brows. Both can be done together if that is something you are interested in.

You are a great candidate for upper lid blepharoplasty to remove excess skin. You may also be a candidate for brow lifting depending on your goals. A thoughtful blepharoplasty will not change the shape of your eyes and should look more youthful and natural.

You would benefit from a upper blepharoplasty. A browlift may be indicated but you would have to be examined in person.

Best Wishes,

Gary Horndeski, M.D.