As an oculoplastic surgeon, cosmetic eyelid surgery is the most common surgical procedure that I perform. Over my 21 years in practice, I have performed thousands of cosmetic blepharoplasties and endoscopic brow lifts. Here are some of the most frequently asked questions.
Will I still need to do Botox after eyelid surgery?
Yes, you will still need to have Botox treatments after surgery. Botox and surgery treat different issues. Botox treats dynamic wrinkles, meaning that it smooths wrinkles that appear when you make facial expressions, smile, or frown. Surgery addresses loose skin, hollows, bags, and other structural issues. Surgery and Botox go hand in hand.
Can I do a laser skin resurfacing at the same time as my cosmetic blepharoplasty surgery?
Yes, I often combine CO₂ laser resurfacing of either of just the eyelids or the entire face with a cosmetic blepharoplasty. Many patients like to have one recovery period and the laser can enhance the result of the surgery.

I have ptosis (a droopy eyelid). Can ptosis repair and cosmetic blepharoplasty be done at the same time?
Yes, I often combine ptosis repair and cosmetic blepharoplasty.
Can I have an endoscopic brow lift at the same time as my cosmetic blepharoplasty?
Yes, I often perform endoscopic brow lifts and cosmetic blepharoplasty at the same time. In patients with a heavy brow, lifting the brow with surgery can improve the appearance of the upper lid, but often an upper lid blepharoplasty is also needed to give the fully rejuvenated look. Lower lid blepharoplasty is also often done at the same time.
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