Botox made my hooded eyes worse. Now the skin hangs over a little more. It’s only a little bit it definitely makes me look older. I am considering upper eyelid surgery but I am afraid I may be doing too much I had different opinions one doctor says I’m ready another advises me to wait?
October 27, 2018
Answer: Eyelid hooding after Botox? Upper eyelid lift? Hello and thanks for your questions and photo. This commonly happens with Botox treatment in younger patients that have hereditary heavy lids/excess upper eye lid skin. Botox relaxes your forehead muscles and does not allow you to lift your eyebrows - with heavy upper lids this inability to raise your brows (which you likely have been unconsciously doing constantly while awake) makes your eyes look and feel more closed down/hooded. You have several options: 1. Botox can be utilized to relax the muscles pulling your brows down - allowing for a modest lateral brow lift which can correct that "heavy" feeling and reverse the hooding caused by forehead Botox. 2. An upper eyelid lift can be performed which will remove the excess skin of the upper lid and "open" your eye more - You are not at the age when this is typically necessary, though you do appear to have excess upper eyelid skin and would be a reasonable candidate and likely get a great result. Heavy upper eyelids can be hereditary and as such, the youngest patient that I have performed an upper eye lid lift (blepharoplasty) for was 26 years old and she got a great result. 3. You can simply wait until the Botox "wears off" enough in a month or 2 so that your forehead muscles can again lift your brows slightly - unfortunately these muscles are also what causes your visible wrinkles. I would encourage you to schedule a consultation with a board certified plastic surgeon in your area that can discuss all of the above surgical and non-surgical options with you to come up with the best treatment plan for you. My office and I would be happy to assist.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of Plastic SurgeonsCastle Connolly Top DocReal Self Top 500
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October 27, 2018
Answer: Eyelid hooding after Botox? Upper eyelid lift? Hello and thanks for your questions and photo. This commonly happens with Botox treatment in younger patients that have hereditary heavy lids/excess upper eye lid skin. Botox relaxes your forehead muscles and does not allow you to lift your eyebrows - with heavy upper lids this inability to raise your brows (which you likely have been unconsciously doing constantly while awake) makes your eyes look and feel more closed down/hooded. You have several options: 1. Botox can be utilized to relax the muscles pulling your brows down - allowing for a modest lateral brow lift which can correct that "heavy" feeling and reverse the hooding caused by forehead Botox. 2. An upper eyelid lift can be performed which will remove the excess skin of the upper lid and "open" your eye more - You are not at the age when this is typically necessary, though you do appear to have excess upper eyelid skin and would be a reasonable candidate and likely get a great result. Heavy upper eyelids can be hereditary and as such, the youngest patient that I have performed an upper eye lid lift (blepharoplasty) for was 26 years old and she got a great result. 3. You can simply wait until the Botox "wears off" enough in a month or 2 so that your forehead muscles can again lift your brows slightly - unfortunately these muscles are also what causes your visible wrinkles. I would encourage you to schedule a consultation with a board certified plastic surgeon in your area that can discuss all of the above surgical and non-surgical options with you to come up with the best treatment plan for you. My office and I would be happy to assist.Best wishes!Daniel Brown, MD, FACSBoard Certified, American Board of Plastic SurgeryMember, American Society of Aesthetic Plastic SurgeonsMember American Society of Plastic SurgeonsCastle Connolly Top DocReal Self Top 500
Helpful
October 27, 2018
Answer: Forehead Botox Made Hooded Eyes Worse The forehead is the muscle that lifts your brows. If you weaken the forehead too much with Botox then your brows will droop and eyelid hooding will look worse. This is likely what happened to you. Options are to get less Botox next time, Strategically place Botox to the outer brows to help lift them, or combine Botox with other procedures such as radiofrequency or ultrasound to help lift the brows and improve the eyelid hooding. Make sure you are under the care of an experienced physician provider. Best wishes.
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October 27, 2018
Answer: Forehead Botox Made Hooded Eyes Worse The forehead is the muscle that lifts your brows. If you weaken the forehead too much with Botox then your brows will droop and eyelid hooding will look worse. This is likely what happened to you. Options are to get less Botox next time, Strategically place Botox to the outer brows to help lift them, or combine Botox with other procedures such as radiofrequency or ultrasound to help lift the brows and improve the eyelid hooding. Make sure you are under the care of an experienced physician provider. Best wishes.
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