Can Excess Skin Between Brows After Eyelid Surgery Be Resolved?

Botox injections may influence results in the immediate postoperative period after Blepharoplasty. It sounds as though a brow lift was indicated at the time of your eyelid surgery but this can only be determined after the influence of Botox has worn off and the postoperative swelling subsides from your blepharoplasty. I would recommend that you wait several months before initiating any therapy.

I would highly agree with my colleagues that you may benefit from a forehead lift but It would be wisest to wait for the Botox to wear off (3-5 months) prior to making any final decisions.
Stick with your surgeon and give it some time.

Dear Notperfect
You kind got the blue plate special here.
It is quite possible that if you did not have both upper eyelid surgery and BOTOX at the same time you might be relatively satisfied with you results.
It is very important to understand that when the upper eyelid fold is heavy, the brain sends a signal to the forehead to lift the eyebrows. 100 percent of the time, when upper blepharoplasty is performed there is less need for the forehead muscles to work. They relax and the eyebrow comes down a little bit. Generally the overall effect is actually helpful because the relaxed brow is better for our appearance unless the fall in the eyebrow is a little too much.
Now, what does the forehead BOTOX do? It also relaxed the muscles in the forehead that lift the eyebrows. So no forehead lines but the brows go down. So between upper eyelid surgery and the BOTOX treatment, you have a double reason for the brow to fall. When the brow falls what you see is too much skin below the eyebrow.
Now the surgeon who answer questions here on Realself.com are generally very supportive of what other surgeons do. However, I think that the combo of the BOTOX and the upper eyelid surgery is not ideal. Should you rush out and do something? Do you need a surgical forehead lift? The answer is no. That BOTOX will wear off and when it does your eyebrows will go up reducing the amount of skin you are seeing. So try not to be too annoyed--things will get better!
Dr. Steinsapir

Hi Not Perfect,
You are correct, waiting may solve all of your concerns once you have fully healed. If not, there are methods to take care of the excess skin that is bothering you.
The excess can be excised under local anesthesia in your surgeon's office, or you may choose to have fractionated CO2 laser of the upper eye lid with either Fraxel re:pair or Deep FX.
Enjoy your new eye lids and be well.
Dr. P

If there is excess skin between the eyebrows this is a very difficult problem to address. A forehead lift can be performed usually only if there is preexisting low eyebrows. The thin skin closest to the nose on the eyelids is very difficult to remove without dragging the incision too close to the nose, which can create an obvious scar or webbing on the eyelid incision.