How can I improve the look of my flat eyebrows and heavy eyelids?

Many people at a younger age such as you have problems with a sagging brow. This creates a sad,tired and sometimes angry look. Botox etc. help for the short-term but from your photos I think a limited browlift (modified browlift) would be very helpful. At your age the results could easily last 15-20 years. I think you are motivated to move past short-term solutions.

The best way to determine what is best for you is to see a physician in person. You should see a board certified plastic surgeon in your area to discuss your options.Best,

Treatment of eyebrow ptosis can be achieved both surgically and nonsurgically.  The degree of improvement desire will dictate the treatment plan recommended.  Noninvasive options include the use of botulinum toxins and fillers as well as noninvasive tightening options such as Ultherapy.  Surgical correction of the brow position and will offer a more definitive and longer lasting outcome but may or may not be necessary in your case.  I recommend evaluation by a surgeon who is also highly familiar with noninvasive techniques so that you can explore your options.

Thank you for your question. To avoid heavy eyelids your injector will avoid injections to your frontalis, possibly a few injections to treat the hyperbrow only. You can treat the glabella, crows and give a brow lift. Good technique is extremely imperative to lift eyelids naturally.Speak to a board certified plastic surgeon regarding your surgical options. Best,  

With proper injections of botox and the right dilution, you can get improvement without loss of expression.  Your brows are too heavy and laterally hyperactive due to too heavy of unit dosing.  I suggest seeing someone more experienced in injections.  Best, Dr. Emer.

Brow lifts often don't look normal, and when they do, a minimal improvement is noted. By filling the temples, forehead, cheeks, and brow you will get a naturally looking lift that will last a year at least. A small dose of Botox in the lateral forehead is needed to decrease the exaggerated brow lift. 

You have a couple of new folds because your skin is draping in a different way. AN experienced injector can improve this with just a little bit of Botox/Dysport/Xeomin. I don't think you need anything big or complicated, just a good injector. 

I am not a big fan of surgical brow lifts because too often the brow is elevated in an unnatural way resulting in the surprised look. I would consider having an upper blepharoplasty to remove the excess skin and continue with the Botox injections that gently arches the brow.  Often after an upper lid surgery the lines in the forehead relax and are less noticeable.  More Botox to your forehead may make your brows droop more and make your eyelids look heavier. Good luck.

If you wish to avoid surgery, your dermatologist can attempt to soften (not eliminate) some of your forehead lines by injecting high up the forehead, near the hairline.  This will not typically adversely effect the brow height as the frontalis muscle in this location does not significantly support the brow.  

I see that you have recruited your lateral frontalis muscle fibers which are over-contracted after your Botox treatment.  Your mid brow and forehead has been relaxed with the Botox but your lateral forehead needs a touch more Botox to control those outer brow wrinkles and "Spock" brow.  This is a common mistake with Botox treatments, usually the fault of the injector.  I recommend you notify your injector of the problem and if they do not see how to make this easy correction, then you should find a more experienced injector.  With a better Botox treatment you will not have this problem, and your results will look more natural.  In addition, if you want a lasting but natural brow lift, I recommend filler along with the Botox.  The filler stimulates collagen each time and can be repeated every 1-2 years a few times as needed and safer with fewer risks and complications then surgery.