Is Eyelid Surgery or Botox Better?

When contemplating cosmetic treatment, modern medicine has given you an array of options for achieving your goals. One area that many women and men are concerned about is their eyes. When upper lids droop low, they can give you a chronically fatigued or angry expression that makes you look older than you are.

At Sandel Duggal Plastic Surgery and MedSpa, we offer surgical and non-surgical correction for sagging upper eyelids. Blepharoplasty employs incisions and sutures. Botox is an injectable treatment that offers little to no downtime. Each has specific pros and cons for you to consider before committing to a decision.


The neuromodulator Botox has been around for decades and has become the most popular cosmetic treatment worldwide. With millions of injections performed, it has proven to be a safe and effective treatment for dynamic wrinkles and lines on the forehead, brow, and around the eyes.

The entire treatment takes less than a half-hour, and you’ll see your benefits within a few days. Our patients love the ability to schedule Botox injections on their lunch break and resume their daily schedule immediately after.

When performed by a skilled injector, Botox delivers optimal outcomes that include softening forehead lines, droopy brows, and crow’s feet. The injections freeze muscles that etch wrinkles and lines into the skin through repeated facial expressions, resulting in smooth, even skin textures and an elevated brow. These benefits last from four to six months.


Better known as an eyelid lift, blepharoplasty involves removing excess skin and fat from the eyelids to deliver youthful, clear eyes. As we get older, our eyelids tend to become heavy and puffy, and the upper lids may droop over the eyes. This effect creates a tired and worn look often associated with aging.

Upper blepharoplasty resolves sagging upper lids for long-lasting results. If you have an advanced degree of sagging, it can also improve vision by clearing your line of sight.

The procedure involves a small incision in the upper eyelid crease. Then, Dr. Sandel closes with fine sutures to minimize scarring. The operation typically takes about a half-hour.

Botox Plus Blepharoplasty

While you may be wondering whether to choose Botox or blepharoplasty, it’s not an either/or decision for many. Depending on your cosmetic goals, Dr. Sandel can deliver ideal outcomes by combining these procedures.

For example, after blepharoplasty, you may still have signs of aging around your eyes and eyebrows. Dr. Sandel could employ Botox to diminish those vertical brow lines, crow’s feet, or a furrowed brow following eyelift surgery. Its advantages will complement your blepharoplasty benefits to create a more youthful facial appearance.

In addition, you may consider adding dermal fillers to your treatment plan to restore youthful contours to the mid-face and rejuvenate hollowed areas like temples and tear troughs. Or, for longer-lasting results, you could add a facelift instead.

Expert Eye Rejuvenation in Annapolis, MD

If you would like more information about blepharoplasty, Botox, or any of our other cosmetic procedures, contact Sandel Duggal Plastic Surgery and MedSpa today. Call (410) 266-7120 or request a consultation online.