Lateral droop after upper blepharoplasty? (photo)

I think if you solely focus on the eyelid fold, you will end up with all of this skin removed and your eyelid skeletonized and a buggy look. I suspect that much more is going on that just a poorly performed upper and lower blepharoplasty. I think a big confounding factor here is that you have been botoxed in the forehead at a time when you are trying to determine what type of eyelid surgery result you have. There is no substitute for an in person consultation. Stop doing botox for 4 to 6 months so an accurate assessment of your eyelid surgery will be possible.

Lateral drooping after upper blepharoplasty is best treated with a browlift instead of upper blepharoplasty in my 35 year experience. Have your surgeon do a lateral browlift under local anesthesia.

Even when your brow is higher with the Botox, you have some residual skin. This can be easily removed. However, you may want to also consider a lateral browlift. You have a fairly heavy outer brow, and if you like the way it looks after Botox your surgeon could surgically elevate this area as well.