Hooded Eyes at 30! Lasers, Botox, Lift, or...? (photos)

A detailed consultation determines precisely what is going on, what resources you have, and to determine what you like and don't like about your eyes.  It is essential to understand that while your upper eyelid hoods are a problem for you, they are also a very important feature of your face.  The key is to determine a solution that does not remove every bit of the upper eyelid fold which would effectively skeletonize the upper eyelid.  This type of balanced result may be achieved with just structured microblepharoplasty or it might require eyelid surgery with a judiciously performed browlift.  Overlifting the eyebrow would be an aesthetic mistake because it skeletonizes the eyes and creates the surprised look.Botox is great but I do not think it will provide enough treatment effect to accomplish the aesthetic improvement you need.  There is no harm in trying it.  Just be aware that many of these services actually cause the eyebrow to fall rather than lift the eyebrows.

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

Thank you for sharing your question. This is a very common for people of all ages. For my younger patients, I recommend trying a small amount of Botox to elevate the brows. When properly placed by an experienced injector, there is little risk of further brow droop and you will get a nice, temporary brow lift. I find this to be a great way to determine if you like the aesthetic of a lifted brow. If yes, then it might be worthwhile to have a consultation for a surgical brow lift, which offers a more permanent result. I recommend scheduling a consultation with a board-certified plastic surgeon who does injectables in order to get more information about both procedures. 

You have a classic low eyebrow position that tends to crowd the eyes, but still is an attractive shape. If you are looking for a more "open look", you truly have 2 options that can work well, and it depends on your aesthetic taste which one you choose.1. Brow lift-  This is a technique whereby the forehead and brow are elevated to open the eyes and relieve the heaviness of the upper eyelids. Depending on the hairline and the length of the forehead, an endoscopic or hairline approach can be used. This will give you are more arched/raised eyebrow position and its important for your surgeon to demonstrate how high you would be comfortable with your position, as too high an eyebrow leaves you looking surprised. See below link of examples of brow lifts. 2. Upper blepharoplasty is the straightforward choice which keeps your natural low brow position intact, and simply removes a bit of skin from the upper eyelids. Its important that this happen in a conservative fashion so that if you decide to have  a brow lift in the future, you still have enough skin to be able to undergo surgery and still have adequate skin to close your eyes. Pick a surgeon that is equally skilled and comfortable with both techniques and you can decide together which would be a good fit for you. 

Thank you for your question. You demonstrated the look you want perfectly by raising your eyebrows. The question is how to best achieve this. Temporary solutions include Botox and fillers. I have found placing a little filler under the eyebrow can elevate the brow just enough to provide the look you want. A lateral brow lift is a longer lasting solution, but it's a surgery. So you have your options in front of you. Seek an experienced plastic surgeon. I wish you the best!