Botox for "sleepy" eyes?

Question

Hello, all. Please tell me your thoughts about using Botox (conservatively) in the pretarsal area to open the eyes by way of lifting the upper eyelid. I do not have any congenital deformity or injury, per se, but I am a 45yo female who wants to avoid a surgical brow lift for now and yet look more awake/alive. I realize this is different from the traditional Botox "eyebrow" lift and that the two techniques can perhaps be used in tandem. Thank you.

Brian Bassiri-Tehrani, MD · Answer

Based on your description, it sounds like you have eyelid ptosis, which can have a variety of causes. Toxins would not be an effective treatment method to correct this, and, it may in fact worsen the droopiness of the eyes. Surgery to correct your eyelid ptosis is necessary to raise your eyelid position and lift your eyelids. 
Injecting botox around the eyebrow is different since there are a variety of other muscles around the eyebrow that work in tandem in different vectors and directions. A botox eyebrow lift is weakening/paralyze a small portion of one muscle and relying on another muscle for the "lift." I hope this helps!

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Kenneth D. Steinsapir, MD · Answer

If you have upper eyelid ptosis that is noticeable, you likely need surgery to correct it. Botox is ineffective for correcting ptosis. There is no substitute for a detailed, in person assessment.

Sara Salas, MD · Answer

Applying botox on strategical areas on your forehead and eyes we can make your eye look wider and more "awake". Perhaps, it all depends on your anatomy, so its important see a physician and see if this method works for you.

Camille Cash, MD · Answer

You can consider Botox for the brow to give a conservative lift.  For eyelid ptosis typically surgical intervention is needed for noticeable improvement.  See a board certified plastic surgeon near you for an evaluation.

Botox for "sleepy" eyes?

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