Droopy eyelid is very technique dependent

Help for droopy eyes from Botox

I had Botox done on my forehead almost 2 weeks ago. 2nd day I noticed the droopy eyes, but now one eye is getting better and the other eye is getting worse. and the vision in the worse eye seems to be affected too. They want me to come in to see if they can fix it, but i'm really nervous about that. I look like I've had a stroke.


Roger A. Dailey, MD
19 months ago

Nancy,

In the early clinical trials of Botox® done by Allergan, Inc., the incidence of drooping lid or ptosis was 3.2 percent. It was found to be very technique dependent. In other words, some practitioner’s had a much higher incidence while others had very little.

Fortunately, the effects of Botox do not last forever and often in these cases will get much better in a few weeks.

In the meantime, the ptosis (drooping lid) you are currently experiencing may be responsive to treatment with apraclonidine 0.5% eyedrops, one three times per day until the drooping is gone. These are only available with a prescription so you would need to consult a doctor. There are some contraindications (reasons you should not use the drop) such as if you had cardiovascular disease, chronic renal failure, raynaud’s disease, and others. The most come side effect is an allergic type reaction. You might experience itching, redness, and swelling of the eyelids. If this occurs, you should stop the drop. Surgery is generally not advised for a short term, Botox induced ptosis.

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