Closeup Of Handsome Male Face With Black Marks On Skin Under Eye.

Should I get Botox or Blepharoplasty?

Closeup Of Handsome Male Face With Black Marks On Skin Under Eye. Aging can bring some surprising changes to appearance, and some that we don’t feel very willing to welcome. With the tissue around the eyes being some of the thinnest on the body, we often notice the most profound changes in the upper and lower eyelids. Heaviness in the upper eyelids can create the appearance of hooded eyes. Lax skin at the outer corners of the eyes can result in deep, downturned creases.

These problems are not uncommon. They are some of the most common complaints that we hear from patients who visit our Reno plastic surgery office. The question that many of them have is whether they can get the outcome they want without surgery. Here, we’ll do an overview of how BOTOX stacks up against blepharoplasty for hooded eyes.

BOTOX® and Eyelid Surgery: Similarities and Differences

BOTOX and blepharoplasty are two of the most common treatments performed to rejuvenate the eye area. They are similar in that they can achieve that goal. In every other way, though, they are different.


Blepharoplasty is an eyelid surgery that can be performed for cosmetic or functional improvements. It can be done on the upper or lower eyelids and tends to have a remarkable effect on the appearance of the face. Some patients who get blepharoplasty feel better about their facial aesthetic as a whole, just by correcting loose eyelid skin. For hooded eyes, the surgeon trims excess upper eyelid tissue. This is done through a small incision in the natural crease of the lid. The resulting scar is typically barely perceptible when the eyes are closed, and is completely hidden in the crease when the eyes are open. There is a short period of recovery after blepharoplasty in which patients have bruising and swelling. The results of the procedure can last up to 15 years before the signs of aging begin to recur.


BOTOX is the injectable wrinkle reducer that works on the muscles beneath the skin rather than the skin itself. When absorbed by target muscle tissue, the mild neurotoxin prevents the release of the chemical that is necessary for muscle contraction. When the muscle tension is released, the skin can smooth out. In the case of hooded eyes, Botox doesn’t work directly on the eyelid but above it. The provider injects the product into the muscles around the eyebrows, which releases them upward into their natural position. With the eyebrows lifted and muscle tension eliminated, the skin on the upper eyelid can also look tighter and smoother. There is no downtime after BOTOX injections. However, results last an average of four months at a time. Retreatment can be scheduled accordingly to maintain a more youthful appearance.

Our eyes will age. It’s inevitable. However, we have choices for correction and management. To explore what BOTOX or blepharoplasty can do for you, contact our Reno office at (775) 826-4477.

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