Forehead lift or Botox after ptosis surgery?

Hello and thank you for your question. A forehead lift and Botox often follow a surgery to correct ptosis (drooping) of the eyelids. After an eyelid surgery, patients may experience increased dissatisfaction with the appearance of their forehead area or may simply want to extend their fresh, new look. You will want to consider these factors first before proceeding, however.
You will want to allow sufficient time to heal from your eyelid procedure before receiving a Botox injection. This minimizes the risks — which are small — of Botox relapsing your ptosis. Similarly, you will want to assess the final results of your ptosis surgery before determining how much forehead augmentation you will need.
A board-certified facial plastic surgeon can provide you with an aesthetic recommendation and a comprehensive surgical plan during an in-person evaluation. Good luck!- Elbert T. Cheng, MD

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your exact situation.

For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

Thank you for your question. Having eyelid surgery can increase the chances of Botox causing ptosis actually. This is still rare but something to consider. Forehead lift, on the other hand, is safe after ptosis surgery. It really depends on how long it has been and what exactly was done. For example, was skin removed from the upper lid or only the muscle resuspended? Be sure to do some research to ensure that you are seeing a reputable provider that is most familiar with facial surgery. Hope this helps.Best of luck,DrC