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Kenneth D. Steinsapir, MD answers: Raised eyebrows and drooping lid after Botox

One week after my Botox injections, I started to have raised eye brows and drooping eyelids. What can I do to make them look normal again? I am currently using Iopidine eye drops.


Kenneth D. Steinsapir, MD
9 months ago

Dear Shara I just completed a study of 7 patients who developed severe ptosis after BOTOX. Generally upper eyelid ptosis or drooping after BOTOX is rare and resolves within 4 to 6 weeks. These 7 individuals were more unusual in that their ptosis persisted for 7 or more weeks and in one case lasted a full year. In these individuals Iopodine was initially ineffective. The Iopodine only became effective about 4 to 6 weeks before the drooping of the upper eyelids wore off. Consequently, if the Iopodine is working and makes your upper eyelid look better, then the droopiness is likely to wear off in about a month. If the Iopodine is not working, your upper eyelid ptosis may take 3 to 6 months before resolving. The reason your eyebrow is elevating is to compensate for the heavy eyelid. This will get better. Keep using the Iopodine and the next time you are treated, do not let the doctor treat you so close to the eyebrow.

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