Eyelid ptosis is rare from Botox. Brow drooping is more common but can be predicted

True eyelid ptosis is when the upper eyelid muscle weakens and the eyelid comes down further on the pupil. This occurs very uncommonly. This is from Botox injected into the muscles around the eye socket diffusing into the upper eyelid.

What is more common is brow drooping or ptosis. This can be avoided or predicted in most patients. Treating the forehead lines relaxes the frontalis muscle that raises the forehead. Many patients already have overhanging eyelids or low eyebrows. They habitually hold their brows up with the frontalis muscle to relive the heaviness. If the frontalis is treated with Botox, this compensation is eliminated.

Some patients can even get a browlift with properly placed Botox. As stated above, you should seek out a skilled, well trained physician for Botox treatments.

Hi!

Eyelid ptosis after Botox is not caused by the material.   It can also happen with Dysport.  Ptosis is caused only by bad technique.  It is caused by injecting in the wrong place (too close to the upper eyelid).  You need a plastic surgeon or a dermatologist who really knows the anatomy.

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 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 the most experienced injectors, there is still a very small chance of ptosis.  If this does happen, there are eyedrops which can help elevate the upper eyelid a few millimeters until the Botox wears off.  Good luck.

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How to avoid a droopy eyelid after Botox injections:

1. Go to a qualified experienced injector--incidence should be less than 1%
2. 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, the ptosis can be unmasked. This is because the forehead muscle is compensating for the weakened eyelid muscle. Removing this compensatory muscle causes the eyelid to droop.
3. Injecting too close to the eyelid muscle when treating the glabella, or the 11 lines.

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