Prescription eyedrops will help til droopiness goes away

Jonathan Hoenig, MD answers: 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.


Jonathan Hoenig, MD
1 month ago

Botox or Dysport injections to the frown lines can cause droopiness of the upper eyelid. This is very rare in experienced injectors (I've been doing it for 20 years, my physician assistant - P.A. - for 10 years). The risk of eyelid drooping may be increased with the use of Dysport instead of Botox, as Dysport is reported to spread more.

Eyelid drooping occurs when the medicine goes into the muscles that are responsible for opening the eye (orbicularis oculi), instead of the frown muscles (corrugator and procerus muscles).

Temporary treatment is available in the form of a prescription eyedrop that will stimulate the muscle and raise the lid. Normally, the eyelid droopiness resolves in 2-3 weeks, so hopefully you're almost fully recovered. The recovery time will depend, though, on how much Botox actually migrated into that muscle.

If you are uncomfortable going back to your doctor or want a second opinion, you can see an oculoplastic surgeon (www.asoprs.org to find one near you).

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