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Is Eyelid Surgery or Botox Better for Your Goals?

The eyes are often the first part of the face to show signs of aging such as crow’s feet, dark undereye hollows, and drooping skin. If these issues trouble you, you may wonder about the most effective treatments to restore a youthful appearance.

Eyelid surgery is one option. Botox injections or dermal fillers are two others. Here, we’ll explain what each of these treatments can and can’t do for your eyes, and the pros and cons of each approach. Each has its purpose in facial rejuvenation, and which is right for you will depend largely on the problem you’re trying to correct.

What Is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, is surgery to lift sagging eyelids and eliminate puffiness. When your eyelids droop or appear puffy, they make you look tired and sad, regardless of how rested and content you feel. They can also make you look older, even when you have no other signs of facial aging. Eyelid surgery corrects these problems by removing excess skin and fat from the eyelids. Upper eyelid surgery elevates your eyelids and removes excess skin that can overshadow your eyes and obscure your vision. Lower eyelid surgery removes fat that has accumulated to create puffy undereye bags.

What Is Botox?

Botox is an injectable wrinkle reduction treatment. When facial muscles contract as you squint, smile, frown, or look worried, they compress and fold your skin. With age, these creases can increase in severity as you habitually repeat these movements. Examples of these expression lines include crow’s feet at the outside edges of the eyes, horizontal worry lines on the forehead, and vertical frown lines between the eyebrows.

Botox works by relaxing the specific facial muscles responsible for the wrinkles in the upper third of your face, allowing the affected skin to smooth itself and recover. The results are temporary, but you can get maintenance touch-ups every three to four months.

Dermal fillers can also soften facial lines, but they work differently. They add volume that smooths the creases and makes them less noticeable, and they stimulate collagen production to make your skin more resilient.

Which Is More Effective for Correcting Droopy Eyelids: Eyelid Surgery or Botox?

Eyelid surgery is the longest-lasting, most effective treatment for droopy eyelids. However, if your brow also sags and gives your eyes a hooded look, a brow lift may be a better solution.

If you have less noticeable drooping in your upper eyelids, Botox treatments for forehead lines and wrinkles can sometimes help. In some cases, Botox can have a secondary effect of elevating the eyebrows and upper eyelids by relaxing the forehead muscles.

Is Botox Sufficient for Reducing Wrinkles, or Do You Need Eyelid Surgery for Your Goals?

Botox is an excellent treatment for smoothing wrinkles caused by repeated facial expressions. For example, we can effectively soften crow’s feet, forehead furrows, and glabellar lines with Botox. Eyelid surgery will have no effect on crow’s feet or forehead wrinkles, but it can smooth lines in the lower eyelids, which Botox and dermal fillers cannot. So, to decide which treatment is better for you, you should evaluate which wrinkles are of most concern.

You may also choose to combine eyelid surgery with Botox or a brow lift for a more comprehensive rejuvenation.

Comparing Eyelid Surgery and Botox Results

Eyelid surgery has long-term results, typically lasting years for people who do not smoke and follow other healthy skin care habits. By comparison, Botox treatments are temporary. Most people find the effects start wearing off after three or four months, but you can return for a quick touch-up as needed.

Which Option Offers the Ideal Balance for Your Goals?

To choose the right treatment to rejuvenate your eyes, first consider your ideal outcome, including the problems you want to correct.

  • Wrinkles and lines such as crow’s feet: Botox
  • Drooping upper or lower eyelids: Eyelid surgery
  • Sagging forehead and hooded eyes: Brow lift

When comparing cost and effectiveness, think about how often you might need to repeat injectable treatments and how long you might want to refresh your look. Botox and other injectables are ideal for people with a less advanced degree of facial aging who want to “test-drive” cosmetic procedures before committing to surgery.

When Should You Consult with a Professional to Determine the Most Suitable Option for Your Unique Needs?

When considering facial rejuvenation, it’s always best to consult an expert, especially if cosmetic surgery is on your wish list. A board-certified plastic surgeon like Michael Cash, M.D.  will examine your face to determine your skin’s quality and resilience, ask questions to understand your goals, and recommend the safest and most effective approach. He’ll help you weigh the pros and cons of every treatment you’re considering so you can make an informed decision.Contact Nashville Plastic Surgery online or by calling (615) 454-2271 to schedule a consultation with Dr. Cash. Patients in Metro Nashville and throughout Middle Tennessee choose Dr. Cash as their cosmetic surgeon because of his ability to create stunning results and the caring attention he and his staff provide.

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2201 Murphy Avenue, Suite 301,
Nashville, TN 37203

At Nashville Plastic Surgery, we have a deep understanding of the important role that physical image plays in life, yet we never lose sight of emotional well being. Our approach to plastic and reconstructive surgery integrates these fundamental principles to promote overall health.

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