It is possible to lift a droopy eyelid without lifting the brow with Botox? (photos)

My eyelid is dropping and I would like to lift it whitout surgery. Would it be possible with Botox? I don't want to lift my brow because they are tattoed really high and they will sit higher if I do some and it will making me looking angry.

Doctor Answers 13

Botox will not address droopy eyelids

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Thank you for your question miss wonderland. Botox is a purified protein used to address wrinkles associated with facial expressions. Botox can be used to lift the brows. A rare side effect of Botox is droopy eyelids, which can be addressed with eyedrops. If the droopiness is from another cause, alternative treatments such as blepharoplasty or skin tightening treatments are available. Please consult with a doctor for specific recommendations.  Good luck!

It is possible to lift a droopy eyelid without lifting the brow with Botox?

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'Droopy" eyelids are currently (2016) best fixed by tightening the skin with a radiofrequency laser such as Viora® or Exilis®.

Manjula Jegasothy, MD
Miami Dermatologist

Lifting droopy eyelid with Botox

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Unfortunately your only option would be to have surgery to remove the access skin.  There are no magic lasers or treatments that will do this for you.  Botox will lift your brows about 2mm but won't help with the access skin.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 518 reviews

Lifting the brow with Botox

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Yes, you can lift the brow with Botox. Results are temporary and more subtle, as compared to surgery. Based on photograph alone, you can consider an upper blepharoplasty. Upper eyelid surgery can be a conservative method to rejuvenate the eyes with minimal downtime. The brow does not necessarily need to be lifted with upper eyelid surgery. If you haven't already, then speak with a facial plastic surgeon to review options.Best,Dr. Chaboki

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Non-surgical brow lift

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Hi there! Non-surgical brow lifts are very popular, especially in younger patients who really don't want to have surgery. Good news is there are great alternatives. I do think the first to try is botox, if injected properly you should have a good 1-2mm pick up to your upper eyelid without causing you to have a brow that is too high. Other options include energy based technology such as ulthera, or thermismooth/thermismooth 250 which stimulate the skin to produce collagen and help to tighten and rejuvenate skin, this can be done over the forehead and the upper eyelids. Best, Dr. P.

Kaleroy Papantoniou, MD, FAAD
Great Neck Dermatologic Surgeon
5.0 out of 5 stars 32 reviews

Droopy Eyelids and Thermage and Botox

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You seem to be a great candidate for Botox and Thermage to non-invasively lift the eyes and appear less droopy.  Please consult an expert.  Best, Dr. Green

It is possible to lift a droopy eyelid without lifting the brow with Botox?

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Thanks for your insightful question. The short answer is no. The only way to definitively address fullness, excess skin or a droopy eyelid (ptosis) is with surgery or other somewhat invasive procedures. Botox will help with fine wrinkles at the crow's feet and in the middle of the forehead, occasionally on the forehead itself. However, it will not "lift" enough to address most patients' concerns. You may have heard about botox used in such a way as to create some elevation of the brow. This is sometimes referred to as a "chemical browlift."  The results are subtle but can be very pleasing. Nevertheless, this approach will not address the underlying anatomic issue of excess tissue and the need for tissue elevation. Best of luck.

Bram Kaufman, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 15 reviews

Botox for droopy eyelid

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Botox injection will not lift the eyelid without simultaneously lifting the eyebrow. In most cases, the best treatment option for excess eyelid skin is a blepharoplasty, a surgical procedure. Nonsurgical options are not ideal but you may see some result with filler injection into the brows or a energy based treatment such as Ultherapy or Thermage.

Eyelid Drooping -- Fillers, Thermage, ThermiSmooth, Exilis Ultra, co2/erbium laser resurfacing

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I suggest seeing an expert.  If you have extra skin, remove with surgery.  If not there are non invasive alternatives such as thermage, exilis ultra, fillers, and thermismooth.  sometimes laser resurfacing helps. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Botox and eyes

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Botox injecting along the crow's feet and lateral brow can improve the appearance of the lateral eye but will lift the eyebrow position.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

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.