Surgery or Botox? (Photo)

Question

Hi im 40 my eye lids have dropped i think due to my age left me with sagging eyes. Can i fix with botox or do i need surgery?

Natalia Vidal Laureano, MD, FACS · Answer

Thank you for your question! Botox and surgery treat different concerns, and they often complement each other well.

Botox relaxes the muscles that cause forehead lines and “11 lines,” and it can also provide a subtle lift to the outer brows, helping with eyelid heaviness. However, it doesn’t remove excess skin. If you have loose skin on the upper eyelids, an upper eyelid surgery is the best way to address that and create a more refreshed, open look.

In your case, combining Botox with eyelid surgery would likely give you the most balanced and natural result.

Donald B. Yoo, MD, FACS · Answer

Botox works as a neuromodulator to smooth out dynamic wrinkles created by the movement of facial muscles. While it can "lift" the brow temporally a mild amount, you do have some excess skin and a degree of brow ptosis that Botox alone would not correct. Blepharoplasty in combination with a browlift would address the heaviness of the brows and upper eyelids.

John Michael Thomassen, MD · Answer

I would recommend an upper lid blepharoplasty.  This is a safe and satisfying procedure that can be done under local anesthesia in the office and greatly rejuvenates the upper eyelids.  You would get nothing close to those results with Botox.

William Portuese, MD · Answer

The photographs are rather limited, however you appear to have excess skin on the upper lids. This can be addressed with an upper lid blepharoplasty under local anesthesia as an outpatient procedure. Botox will not help excess skin on your upper lids.

Darryl J. Blinski, MD · Answer

Based on your two posted photos, I recommend a virtual consultation for an exact determination of options. But over the real self Internet would be upper blepharoplasty with lower lid, pinch blepharoplasty and Endo laser treatment with micro Botox combination fee $8000-$10,000. Best virtual consult with.

Surgery or Botox? (Photo)

Answers (5)

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