Heavy eyelids after Botox

Steven Hacker, MD answers: Can too much Botox cause eyebrows to drop?

I have been getting Botox for about 4 years and everything has been great. This time when I got it, it made my one eyelid look like it was a double eyelid (kind of baggy).  However, I thought I noticed that my eyelid needed a lift before I went this time, but now it's worse. And both my eyes are baggy in the corners. Both my eyes feel heavy. I'm 40 years old but never had any of these problems before. Will this go away when the Botox is out? Did she give me too much??


Steven Hacker, MD
3 months ago

It is not unusual to report the sensation of heavy eyelids after Botox treatment. Also, ptosis , which is drooping of the eyelids, can occur after Botox injection. The incidence has been reported in various source anywhere from 3-4 % of injections. I my experience, we see it much much lower but do see it on occasion.

It does not necessarily imply that you received too much Botox as it may be related to placement or diffusion of the Botox. The good news is that it is not a serious side effect and resolves 100% of the time, typically within 2 weeks of the occurrence.

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