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Can Botox or Facelift help my closing eye moving brow and chin dimple?

Dr. Dean Kane Q & A Q. I suffered from bells palsy when I was 6 and it was mostly gone but left off with a droopy upper eyelid and crooked smile, involuntary movements occur when I smile, or when I blink,. I can’t open my right eye fully, maybe Botox could open it up a little? A. So sorry for your troubles! You have developed a asymmetrical balance of your forehead muscles to help lift the ptosis of your eyelid. This synkinesis has several options you may wish to have evaluated by a Plastic Surgeon with Oculopastics Reconstructive and Microsurgery Nerve grafting skills. While Botox will provide a temporary improvement in some of asymmetry, there are other more effective options considering your youth.
  1. Upper eyelid ptosis repair which will allow the higher eyebrow to relax on its own
  2. Static or functional eyelid and brow lifting
  3. Facial nerve grafting from same or opposite side.
  4. Eye drops to stimulate lift of the eyelid muscle.
  5. Filler under the opposite brow to help simulate the loss in volume on the opposite side.
These are very advanced techniques in functional and static reconstructive eyelid and brow surgery. Always consult with the very best Board Certified Surgeon with the breadth of skills and talent required to provide you the best outcome! I wish you the very best!   This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
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