Botox for hooded eye/uneven brow or surgery? (Photos)

Although your photos have been taken from quite a distance, there does appear to be some disparity in your upper eyelids and your eyebrow height. Please keep in mind, however, that we are our own worst critics, and other people are generally not as focused on such discrepancies. Some asymmetry to the face is natural. Unilateral upper blepharoplasties are performed when the disparity is very apparent, and unilateral eyebrow lifts as well. In order to make such an assessment, you should be seen in person by a board certified plastic surgeon. In some cases, Botox can partially help to raise one eyebrow to match the other, but may not fully improve the asymmetry. You might want to try the Botox approach first, as it is a less expensive and less invasive approach. It is also not permanent, so after it wears off in approximately three months, you can consider another option if not fully satisfied with its effect. Be very careful, however, who injects the Botox. I would seek out a plastic surgeon to inject this, because if not injected properly, your eyebrow and upper eyelid can actually be made worse!

For significant improvement, hooded eyelids require surgery if there is enough skin. For 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. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Hello and thank you for you questions and pictures! Upper eyelid hooding can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

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