My left eyelid crease, which was once defined has been shifting and turning into triple eyelid creases when I put pressure on it or even sometimes when I blink. It has been like this for 2 months now. I got an eyelid surgery consultation and the doctor suggested Botox to lower my left eyebrow so that they crease will lower too and my natural eyelid crease will stay. Will that even work? Or should I get surgery instead?
Answer: Eyelid ptosis Thank you Luna bella for posting your question here.I will start by saying that my answer is based on the limited information and pictures provided , for a more bespoke plan please consult with your plastic surgeon in person.
Helpful 1 person found this helpful
Answer: Eyelid ptosis Thank you Luna bella for posting your question here.I will start by saying that my answer is based on the limited information and pictures provided , for a more bespoke plan please consult with your plastic surgeon in person.
Helpful 1 person found this helpful
Answer: Upper eyelid asymmetry Though an in person evaluation is best, based on the photos it appears you would benefit from an upper blepharoplasty. This surgery removes excess skin and can improve symmetry of the upper lids. Botox may give you some improvement, but surgery would be more notable and permanent.
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Answer: Upper eyelid asymmetry Though an in person evaluation is best, based on the photos it appears you would benefit from an upper blepharoplasty. This surgery removes excess skin and can improve symmetry of the upper lids. Botox may give you some improvement, but surgery would be more notable and permanent.
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October 3, 2024
Answer: Eyelid creases To achieve a permanent result you would benefit from an upper lid Blepharoplasty. In these procedures the surgeon is able to remove any excess skin or fat that causes the extra flap or crease to the eyelid.
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October 3, 2024
Answer: Eyelid creases To achieve a permanent result you would benefit from an upper lid Blepharoplasty. In these procedures the surgeon is able to remove any excess skin or fat that causes the extra flap or crease to the eyelid.
Helpful
October 3, 2024
Answer: Botox Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. It sounds like you're experiencing some changes in your eyelid crease that can be concerning. Botox can be effective in relaxing the muscles around the eyebrow and eyelid, potentially helping to lower the eyebrow and create a more defined crease. However, the results can vary based on individual anatomy and the underlying cause of the issue. I suggest trying Botox as a first step, it might be a good option to see if it provides the desired improvement without jumping straight to surgery. If you don’t see the results you want or if the issue persists, then considering surgery may be the next step. I hope this helps and best of luck!
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October 3, 2024
Answer: Botox Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. It sounds like you're experiencing some changes in your eyelid crease that can be concerning. Botox can be effective in relaxing the muscles around the eyebrow and eyelid, potentially helping to lower the eyebrow and create a more defined crease. However, the results can vary based on individual anatomy and the underlying cause of the issue. I suggest trying Botox as a first step, it might be a good option to see if it provides the desired improvement without jumping straight to surgery. If you don’t see the results you want or if the issue persists, then considering surgery may be the next step. I hope this helps and best of luck!
Helpful
October 2, 2024
Answer: Almost no eyelid surgeon you are going to see will understand the basis for your eyelid crease change. The reason for that is that we simply to not train our eyelid plastic surgeons with sufficient understanding of internal eyelid anatomy for them to understand why your eyelid is doing this. You Have upper eyelid ptosis with a compensatory eyebrow elevation. Freezing the forehead with Botox will drop the affected eyebrow but it won't fix the upper eyelid ptosis. You eyelid has multiple creases because you have a central levator disinsertion with retraction of the levator aponeurosis and preaponeurotic fat pad. The subbrow fat pad, which also contributes volume to the upper eyelid fold, is also elevated out of position by the compensatory eyebrow elevation. The fix is to repair the aponeurotic disinsertion. During a detailed consultation, I would also assess your upper eyelid ptosis, assess you risk of Herring' law ptosis. A discussion needs to be had regarding your preferences for fold shape, platform show, and lid margin height. To not get talked into posterior approach ptosis surgery. This does not address your issues. Do not get talked into filler or grafted fat to add volume to the upper eyelid fold. Your eyes can be your best feature.
Helpful
October 2, 2024
Answer: Almost no eyelid surgeon you are going to see will understand the basis for your eyelid crease change. The reason for that is that we simply to not train our eyelid plastic surgeons with sufficient understanding of internal eyelid anatomy for them to understand why your eyelid is doing this. You Have upper eyelid ptosis with a compensatory eyebrow elevation. Freezing the forehead with Botox will drop the affected eyebrow but it won't fix the upper eyelid ptosis. You eyelid has multiple creases because you have a central levator disinsertion with retraction of the levator aponeurosis and preaponeurotic fat pad. The subbrow fat pad, which also contributes volume to the upper eyelid fold, is also elevated out of position by the compensatory eyebrow elevation. The fix is to repair the aponeurotic disinsertion. During a detailed consultation, I would also assess your upper eyelid ptosis, assess you risk of Herring' law ptosis. A discussion needs to be had regarding your preferences for fold shape, platform show, and lid margin height. To not get talked into posterior approach ptosis surgery. This does not address your issues. Do not get talked into filler or grafted fat to add volume to the upper eyelid fold. Your eyes can be your best feature.
Helpful
