Are my eyes close set? Can Botox make them appear more wide set? (Photo)

Question

If so, is there anything I can do to make them appear more wide set? Can Botox between the eyes achieve this look? Any eyelid surgery? Thanks?

Anna Chacon, MD, FAAD · Answer

From the photo, the appearance of your eyes is influenced by more than simply the distance between them. Things like the shape of the brow, the inner corners of the eyes, the bridge of the nose, and the amount of visible eyelid all affect how wide- or close-set the eyes appear.

Botox between the eyebrows (the glabella) can sometimes create a subtle optical change, but it cannot physically move the eyes farther apart. Relaxing the muscles in the glabella can soften the area between the brows and, depending on your individual anatomy, slightly change the position or shape of the inner brow. This may make the center of the face look a little more open, but I would not expect Botox alone to create a dramatic wide-set appearance.

There is also an important distinction between treating the glabella and trying to change the actual position of the eyes. Botox affects muscle activity; it doesn't change the underlying orbital bones or the distance between the eyes.

Eyelid surgery also generally doesn't make the eyes physically farther apart. Upper or lower blepharoplasty can change the amount of visible eyelid skin and the shape of the eye opening, while procedures such as canthoplasty can alter the shape or position of the eyelid corners. These can change the perception of eye spacing, but they are not procedures designed simply to increase the distance between the eyes.

If your goal is primarily to make the eyes look more separated, the most conservative approach is usually to work with the surrounding structures rather than trying to change the actual eye position. Brow shape, makeup/hairstyling, and in selected cases subtle neuromodulator treatment can influence the overall visual balance.

I would also be careful with aggressive Botox around the inner brows. The muscles in this area work together to control brow position, and excessive relaxation can produce an undesirable brow shape or asymmetry.

So, in short: Botox between the brows may create a small optical improvement by opening the glabella area, but it won't actually make the eyes wider-set. Eyelid surgery can alter eye shape and exposure but generally won't change the distance between the eyes. The best approach depends on whether the concern is truly eye spacing or the way the brows, eyelids, and nasal bridge frame the eyes.

Camille Cash, MD · Answer

From the submitted photos it appears the width between your eyes is normal.  Regardless Botox would not impact this width.  Botox is used to soften the appearance of lines and wrinkles around the crows feet, between the eyes and forehead area.  It can also be used to give a conservative lift to the brow.

Alex Cheah, MD · Answer

Hey there! Great question - unfortunately, botox will not help with the positioning of your eyes. If it's a matter of facial balancing, you may have to consider the shape/position of your brows or even the bridge of your nose (both aren't in the photos). Best thing would be an in-person consultation to discuss your goals and learn about the potential options. Hope that helps!

Leonard Grossman, MD · Answer

The answer to your question is NO, Botox is not going to change the distance between your eyes which appears to be absolutely normal. I hope this helps and good luck from New York City Plastic Surgery.

Are my eyes close set? Can Botox make them appear more wide set? (Photo)

Answers (4)

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