BOTOX® Cosmetic or Blepharoplasty?

Both BOTOX® Cosmetic and blepharoplasty are designed to target visible signs of aging around the eyes; however, these procedures go about this task differently. The area surrounding the eyes is often the first to show the aging process. Genetics, sun exposure, blinking and facial expressions, and lifestyle choices are all responsible for the gradual breakdown of the upper face’s thin skin. These lines, wrinkles, and sagging skin not only create an overly aged appearance, but they negatively affect the emotions your eyes can express. So much of how you project and present yourself is visible through the eyes and is, therefore, one of the first areas that many patients desire cosmetic treatment.

beautiful hazel eyes

BOTOX® Cosmetic

What Is It?

BOTOX® Cosmetic is an injectable treatment derived from botulinum toxin type A, a neuromodulator that minimizes moderate to severe wrinkles around the eyes. This injectable temporarily paralyzes the muscle so that it cannot contract, as it is this contraction that leads to the fine lines and wrinkles on the upper face. BOTOX® Cosmetic provides a non-surgical option to smooth eye and forehead wrinkles, frown lines, and crow’s feet with no incisions, scars, lengthy recovery periods, or extended treatment times.

BOTOX® Cosmetic can be administered in less than one hour, and you can return to your normal activities immediately. While results are noticeable almost immediately, they are not permanent, and will generally fade after four months. Touch-up and repeated treatments are available to keep you looking youthful and rejuvenated.

Is BOTOX® Cosmetic Right for You?

BOTOX® Cosmetic is designed to smooth the skin to minimize the appearance of fine lines and wrinkles in the upper face. It isn’t intended to treat sagging skin or puffiness around the eyes. If your insecurities about the eyes are focused on the quality of the eyelid skin, BOTOX® Cosmetic may not be the solution for you.


What Is It?

Blepharoplasty is a surgical procedure that addresses facial sagging and wrinkles on the upper and lower eyelids. As skin breaks down due to age and sun damage, it begins to sag and droop. This can result in upper eyelids that fall and limit the amount you can open your eyes, as well as lower eyelids that develop puffy bags, dark circles, and wrinkles. Blepharoplasty surgically removes excess fat pockets and skin in the upper and lower eyelids and tightens underlying muscle to provide you with a widened and brighter eye appearance.

Although incisions (and therefore scarring) are present, they are placed in inconspicuous locations. As blepharoplasty is a surgical procedure, there is some downtime as you heal. Most patients take up to two weeks off from work and four weeks off of strenuous physical activity. Most of the swelling subsides, and your results are final six weeks after your surgery. The results of your blepharoplasty are long lasting, and even when additional aging occurs, you will always look more refreshed than if you didn’t have the procedure.

Is Blepharoplasty Right for You?

Where BOTOX® Cosmetic targets wrinkles, blepharoplasty targets excess, sagging skin. For patients whose eyelids overwhelm their face or interfere with their range of vision, blepharoplasty is the procedure you will benefit from the most. Wrinkles on and around the eyelid will be lessened with this procedure, and you can enjoy your rested youthfulness for years to come.



Each procedure provides significant, desirable results. To find out more about BOTOX® Cosmetic or blepharoplasty, contact Dr. Alex Mesbahi today to set up a consultation by calling 703-287-8277.

Woman receiving a cosmetic injection into her foreheadAs many of us enter our thirties and forties, fat and collagen that is responsible for fullness in the face begins to dissipate. Over time, this loss of tissue begins the onset of fine lines, wrinkles, and folds on the skin, while volume is permanently lost in the face. In the past, surgical procedures, such as facelifts and eyelid lifts, were the only way to restore a youthful appearance to the face.

At Mesbahi Plastic Surgery, we offer the revolutionary liquid facelift treatment for women and men who desire to eliminate the signs of aging on their face without the effects that invasive surgery can leave behind.

The liquid facelift can improve many aspects of the aging face, including:

  • Hollowness under the eyes
  • Sunken cheeks
  • Creases around the nose and mouth (nasolabial folds)
  • Loss of definition in the jaw line
  • Minor scarring (acne scars)
  • “Tired” or “angry” appearance

A liquid facelift consists of a combination of neurotoxins and dermal fillers strategically injected into areas of the face that appear thin or gaunt. Every patient’s face ages at a different rate, which is why neurotoxins (BOTOX® Cosmetic) and dermal fillers that contain all-natural hyaluronic acid (JUVÉDERM®) or calcium hydroxylapatite (RADIESSE®) are used in unique combinations to diminish aging in the face.

Unlike traditional surgical procedures, the liquid facelift offers immediate results without any downtime needed for recovery. Typically, patients can expect their “new look” to last three to six months, although results can last even longer if proper skin care is followed.

Even though a liquid facelift is very effective, it is not suitable for everyone. In instances where deep facial lines sagging skin have developed, an invasive surgical procedure will be more beneficial.

To discover if you are a candidate for a liquid facelift, contact our Virginia practice to get started today. Simply call (703) 287-8277 or fill out our online contact form to schedule your initial consultation with Dr. Alex Mesbahi. Certified by the American Board of Plastic Surgery (ABPS), Dr. Mesbahi has helped people of all ages achieve a more youthful appearance through cosmetic treatment. We look forward to hearing from you soon!