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Upper Eyelid Surgery vs. Botox and Fillers: Which Helps Droopy Lids Most?

Doctor's hands marking a woman's eyelids for an eyelid lift in Calgary, AB Have your eyes started looking tired even when you feel rested? Maybe your eyeliner disappears under a fold of skin, eyeshadow smudges by midday, or you constantly lift your brows to look more “awake.” You might be wondering: Do I need upper eyelid surgery, or can Botox or fillers fix this? The truth is, all three can help, but they don’t treat the same problem. The best option depends on what’s actually causing the droop.

Dr. Jeffrey C. Dawes, MD, is a board-certified plastic surgeon with extensive training in facial aesthetics. With 17 years of post-secondary education and five years of intensive plastic surgery training, he’s known for meticulous attention to detail and a strong commitment to patient care when creating individualized treatment plans.

What Causes Droopy Lids?

Most people use “droopy lids” to describe one of these issues:

  • Excess upper eyelid skin (hooding): Loose skin folds over the lash line
  • Brow descent: The brow drops, pushing tissue downward
  • Volume loss: Hollowness near the brow bone can make the lid area look heavy
  • True eyelid ptosis: The eyelid muscle is weak, and the lid margin sits lower

When Upper Eyelid Surgery Helps Most

Upper eyelid surgery (upper blepharoplasty) removes excess skin (and sometimes small amounts of fat) to reduce hooding and create a more open, refreshed look. It’s typically the most effective option when the main problem is extra skin resting on the eyelid, especially if it affects makeup application or peripheral vision. Results can be long-lasting.

When Botox Can Help

Botox doesn’t remove skin. Instead, it can create a subtle “lift” by relaxing the muscles that pull the brow down. Botox works best for:

  • Mild brow heaviness, not significant eyelid skin laxity
  • Balancing asymmetry
  • Softening crow’s feet that contribute to a tired appearance

Results are temporary and usually need maintenance every few months.

When Fillers May Be the Better Choice

Fillers can restore volume around the brow bone or upper lid transition in the right candidate. If hollowness is making the area look sunken or shadowed, filler can improve contour and brightness.

Look Fresh and Awake with Eyelid Treatments in Calgary, AB

Achieve your goals for a more vibrant appearance. Call us today at 403-571-3141 to schedule a consultation and find the option most likely to give natural-looking results.

Learn More

Contact us today to learn more about our plastic surgery products & services.

Book a consultation online or call 403.571.3141

“My role, in part, is to assist patients through the process of determining which surgical or non-surgical options would help them meet their aesthetic goals and realistic expectations” - Jeffrey C. Dawes MD, FRCSC

KEEP INFORMED. STAY CONNECTED.

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What Happens in a Consultation?

  1. You will meet Dr. Dawes for an individualized, comprehensive evaluation. Dr. Dawes will offer individualized recommendations regarding the best treatment options available to you in a way that will allow you to make a confident, well-informed decision.

  2. You will then meet with a staff member to review your customized quote, discuss financial options and ask questions.

  3. Discuss potential treatment or procedure dates.

How May We Help?

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