What is Right for Me? Botox or Blepharoplasty?

The eye area is one of the most critical when it comes to how our appearance represents us. When the eyes begin to show the signs of aging, we may be slightly concerned. When the emotion of the face changes due to aging eyes looking sad, angry, or just plain tired, concern can turn to panic. Still, in that state, it can be difficult to discern the best path forward. Two of the most common ways to correct aging eyes and, in particular, hooded upper eyelids, are BOTOX and blepharoplasty. Knowing these two options, patients often get stuck trying to decide which is best for them. If you’re in that position, you may be helped by the information we will share here.

BOTOX® and Eyelid Surgery: Similarities and Differences

BOTOX and blepharoplasty may seem completely different from one another. They do have more differences than similarities. However, each is known for rejuvenating the eyes by correcting concerns like hooding and creases at the outer corners. Each is safe and effective and has a strong history of proven results. You need to know more than this, though, to determine which is best for your needs.


We love performing BOTOX treatment and do so on a regular basis, so we know the power of well-done injections. On that note, it is important that BOTOX and other injectables are performed by a properly-trained, board-certified professional. All of our nurse injectors have been personally trained by Dr. Thompson, a double board-certified plastic surgeon with a eye for perfection. BOTOX is known as a wrinkle-reducer, but it can also be useful in “lifting” the upper eyelids. It can do so by relaxing the muscles that pull down on the brow line and lower forehead. When the tightened muscles are released, the skin smooths out on the upper eyelids, which may make the eyes look younger and more open. While we see the benefits of BOTOX as a non-surgical option, patients learn that there are limitations to the efficacy of this approach for the eyes. Not all hooding is caused by muscles, so only some degree of improvement can be achieved without surgery. If the upper eyelid tissue is very lax and loose, blepharoplasty may be an obviously better option.


Patients often think they want BOTOX instead of blepharoplasty because the idea of surgery sounds extreme. Blepharoplasty is a very conservative plastic surgery procedure. So conservative, in fact, that some patients have it done in the office with local anesthetic (some patients prefer a surgical center procedure in which they receive deep sedation). The downtime is minimal and may be comfortable with over-the-counter pain relievers rather than prescription pain medication. Where BOTOX improves the eyes by lifting the brow, blepharoplasty has no effect on brow position. This procedure, performed through small incisions in the natural crease of the eyelid, trims tissue to the eyelid is tighter and smoother.

Make Your Best Move Now

Sitting on the fence for too long isn’t beneficial. Consulting with an experienced facial plastic surgeon is! Our doctors do not recommend surgery above other options, but create treatment propositions based on your unique needs and preferences. To take the next step, contact us at 801.776.2220 and schedule a visit to our Draper or Layton office.

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