Wrinkles from heavy eyelids: would Botox help alleviate this? (photso)

Question

I am looking into getting botox at the corner of my eyes. I am 29 and have heavy folds at when I laugh. Would botox help alleviate this? Thank you.

Jonathan Kulbersh, MD · Answer

Thank you for your question. You may benefit from an upper blepharoplasty, also known as an upper eye lift. This surgical procedure may reduce drooping, hooding, and skin laxity in this area to produce a more refreshed appearance while also reducing wrinkles around the eyes. It's possible that treatment with Botox Cosmetic would be suggested alongside surgery to maximize your results. I recommend that you schedule an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs and help you decide the best course of action in addressing your concerns.

Kristopher Day, MD, FACS · Answer

I see why you might be interested in botox as a way to address additional tissue of the upper eye, but unfortunately the way this injected medication works is to decrease nerve and muscle function for wrinkles moreso than to eliminate extra tissue. If you are interested in removing excess skin, then an upper lip blepharoplasty is really what you probably want to receive a consult for.

William Lao, MD · Answer

Yes, botulinum toxin will help with the lateral eye wrinkles (crow's feet) and depending on the dosage and where the injections are, it can also provide brow lift effect which will in term helps more the lateral wrinkles. effect is often dosage dependent so it is best to find an experience plastic surgeon to do your injections.

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Farhad Rafizadeh, MD · Answer

Botox can help raise the tails of your eyebrows and correct the wrinkles that you are showing. An expertise and understanding of the facial functional anatomy is necessary to get a good result.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. If these wrinkles form when you are smiling, careful administration of Botox will provide improvement.

James R. Gordon, MD, FACS, FAAO · Answer

In general using Botox to elevate the eyebrows in order to pull up the skin on the upper eyelids is a poor choice of treatment. Sometimes it has the reverse effect and often creates increased wrinkles in the forehead. Occasionally thread lifting is successful, but the treatment of choice is upper blepharoplasty. See an experienced oculoplastic surgeon for detailed evaluation and proper guidance. Good luck!

Camille Cash, MD · Answer

To address your concerns, Botox can be used to help elevate the brow conservatively.  This would make the upper lids appear less heavy.  To directly correct your concern you can consider an upper blepharoplasty which would remove excess skin from the upper lids.  See a board certified plastic surgeon near you to learn more.

Douglas Taranow, DO, FACOS · Answer

While Botox for laugh lines at the corners of your eyes (crows feet too) works well, It appears that your issue is excess skin laterally.  Botox may not alleviate the fold with smiling.  You may of course have a trial injection and wait two weeks to wee if it helps.  If not, you require surgery.
Best wishes.
Dr. Taranow

Leonard Grossman, MD · Answer

Using Botox properly may elevate the outer portion of the eyebrow. The rest of the eyebrow will continue to hang with you having the same amount of extra eyelid skin. The excess eyelid skin tends to be a genetic condition and if it bothers you you can have it improved by means of blepharoplasty. Blepharoplasty is a simple procedure which produces excellent results in experienced hands. I hope this helps and good luck from New York City plastic surgery