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1129 East 2nd Street Casper, WY 82601

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Woman Squishing Forehead Looking In MirrorWrinkles and sagging skin are common signs of aging, but not everyone ages at the same pace or in the same way. The way your forehead, brows, and eyes age could differ drastically even from your immediate family members. If you know that you need rejuvenation for your eyes and brows, there are three main treatments that could help: a brow lift, BOTOX® Cosmetic, or blepharoplasty.

Brow Lift Surgery

Also called a forehead lift, a brow lift corrects wrinkles, creases, and sagging skin on the forehead and between the brows. The brow lift is a surgical procedure that raises the brows and can soften frown lines and horizontal forehead creases. The results are permanent, although the area will continue to age naturally after the procedure. The ideal patient is prepared for surgery and has significant brow sagging with prominent forehead wrinkles.

  • Best for correction of: fully sagging brows, severe forehead wrinkles, and excess forehead and brow skin

BOTOX® Cosmetic

BOTOX® Cosmetic corrects furrows, frown lines, and crow’s feet wrinkles around the eyes. This non-surgical treatment is a simple “lunchtime procedure” in which BOTOX® Cosmetic is injected into target areas of the upper face. BOTOX® Cosmetic temporarily paralyzes the muscles that are responsible for wrinkles so that the skin lies smooth. Results are immediately visible but must be touched up every four months or so. The ideal patient has minimal or no excess skin and no brow sagging but has a desire to smooth out wrinkles around their eyes, brows, and forehead.

  • Best for correction of: furrows, frown lines, and crow’s feet wrinkles around the eyes and brows


Blepharoplasty, or eyelid surgery, corrects signs of aging that affect the eyelids. This surgery removes excess eyelid skin, displaced fatty deposits, and bags under the eyes to rejuvenate the appearance of the eyes. Eyelid surgery can also correct vision impairment caused by eyelid hooding. The results from blepharoplasty can dramatically improve your appearance and restore a more energetic and youthful look. The ideal patient has sagging eyelids, displaced fat deposits, bags under the eyes, and possible eyelid hooding.

  • Best for correction of: sagging upper eyelids, bags under the eyes, fatty deposits above or below the eyes, and/or upper eyelid hooding

Many patients benefit from undergoing two or three rejuvenation treatments together. A common example is combining brow lift surgery with eyelid surgery. By customizing your rejuvenation procedure(s) to meet your needs, you can achieve more excellent results that give you a more youthful appearance.

Brow lift surgery, BOTOX® Cosmetic, and blepharoplasty can all rejuvenate the upper face in significant ways. If you are not certain which procedure you need, Dr. Roussalis can help you determine the best procedure for you during your personal consultation. Call (307) 234-4585 or fill out our online contact form to request your consultation today.