That is a real possibility to discuss. The plan should address your natural shape, brow position, eyelid function and any dryness. “Eye shape stays yours” cannot be guaranteed.
03 / Melanie Petro, MD
The Surgeon’s POV
“Just a touch…”
I have a really small forehead and my brows are lower than I prefer so I use Botox/Newtox/Dysport to weaken the eye muscle that pulls my lateral brow down when I smile & THAT lifts my lateral brow & really my life.
Judge me if you want- it’s OK.
But it does.
My own experience, from “Tiny tox,” June 2022.
The brow and the lid are separate.
A personal response to tox is not a promise that it can replace surgery. Excess lid skin and a lowered brow need assessment together. Removing skin and changing muscle activity do different things.
Upper eyelid surgery may be considered for excess skin. If brow position contributes, that belongs in the discussion before deciding on lid surgery alone.
Upper eyelid and brow assessment before deciding whether the concern is excess skin, brow position or both. Tox can alter selected muscle activity; it cannot remove extra skin.
The Recovery Reality:
Swelling, bruising, dry-eye symptoms and visible incisions can occur. Eye shape or lid position can change. Follow the recovery plan for your procedure; sudden vision changes or severe eye pain need urgent medical attention.
Healing takes time beyond the first return to normal activities. Your surgeon will discuss the expected progression, follow-up and when to assess the result.
The Bottom Line:
Your quote should identify the procedure, surgeon’s fee, facility, anesthesia and follow-up, including what is and is not included. The full total is discussed after assessment and before you decide.
05 / Real life, in my own words
Real & Raw
My own forehead, brows and expressions.
I talk about what I do to my own face in the treatment diary. That experience is one part of the conversation; it does not make another person’s anatomy the same as mine.
It is surgery with risks and individual planning. Discuss the approach, anesthesia, setting, recovery and follow-up instead of judging it only by procedure length.
What is the recovery?
Expect swelling, bruising, incision care and activity restrictions. Your procedure and healing determine the schedule. Discuss time away from work, practical help and follow-up; early return to activities is not the end of healing. Dry-eye symptoms, changes in lid position or eye shape, and other complications are possible.
Will it change how my eyes look?
It can. Your natural shape, lid function, brow position and any dryness should be assessed. No operation guarantees an unchanged eye shape.
Can tox do it instead?
Tox can alter selected muscle activity and brow position in some people. It cannot remove extra skin; it is not a substitute for every eyelid or brow procedure.
I want between-visit skin care to fit your skin, too. Bring your routine; we’ll look at it together. Skin care has a different role from changing facial structure or removing excess skin.