Ptosis with Dysport or Botox

Otto Joseph Placik, MD answers: Preventing eye ptosis from Botox?

I keep hearing more and more cases of eyelid ptosis or "droopy" or closed eye from Botox. Is there a way to decrease the chances of this happening? Does it happen as often with Dysport as well?


Otto Joseph Placik, MD
21 days ago

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 and the risk for ptosis is increased. It really is a tradeoff. Dysport supposedly spreads more widely than Botox and the concern is that it could cause more potential for eyelid ptosis.

In reality the number of people with ptosis in FDA trials were LOWER WITH DYSPORT than it was wtih Botox

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