Preventing eye ptosis from Botox?

Botox and Dysport are both great products and are often used in fact for brow elevation. Reasons for ptosis include: 1. poor injection techniques - getting too close to the eyebrow for example; one must know about anatomy of muscles and be able to recognize already exisiting asymmetries. None of us are... more

"Droopy eyelid" after Botox or Dysport injection is the result of an inadvertent paralysis effect on the levator palpabrae muscle, a small muscle that serves to elevate the upper eyelid. This problem is very rare when experienced physicians administer the injection (the last time this happened in one... more

  Eyelid ptosis, or the dreaded quaz (named after Disney's version of Quisimodo), seems to occur at an equal rate between Botox and Dysport.   The Carruthers, (Alistair being the dermatologist and Jean, the ophthalmologist --the couple who first decsribed the cosmetic benefits of this... more

It has nothing to do with the product and everything to do with the person doing the injections.  As more and more unqualified persons do this injection, the more issues and complaints you will see. So you need to  make sure that you see a board certified plastic surgeon for you injectable needs.

The advantage of Dysport over regular Botox is that it takes affect faster and may last longer and spreads a little more to cover more creases than regular Botox but that may also cause some more heaviness to the eyebrows for 2-3 weeks if it gets too close to the eyebrows. Neither should have much effect on... more

How to avoid a droopy eyelid after Botox injections: Go to a qualified experienced injector--incidence should be less than 1% It turns out many people who end up with ptosis already have sub clinical ptosis.  When the frontalis muscle is injected over aggressively to treat the horizontal forehead furrows... more

Normally, to avoid ptosis of eyebrow, I will do a browlift when I am asked to perform forehead injections. Espcially when the injections are on outer part of foreheads.

The chance of ptosis is related to how close the toxin is injected to the eye. So it is very easy to avoid by injecting far away from the eye. The problem is that the eyebrow furrow muscles are directly beneath the eyebrows. So if you want a really effective injection than you must inject the muscles directly... more

 You say that you hear "more and more" about eyelid ptosis after Botox injections.  This is because more and more people who are unqualified are injecting Botox.  It is important that you go to a qualified injector and not just a spa or "Botox Party."  However, even with... more

 BOTOX is effective at reducing glabella frown lines, and eyelid ptosis occurs in less than 1% of patients injected by myself. The few cases I've seen have been mild, and lasted no longer than 6 weeks. Phenylepherine (OTC) or iopidine (prescription) eye drops are used to treat the ptosis until it wears... more