Hi,
A droopy eyelid is a rare experience in Botox injection but can happen based on the location of the injection and the experience of the injector. I have not heard of Alphagan P but Ipratropium eye drops are indicated for the short term treatment of ptosis or a droopy eyelid.
I have not seen a droopy eyelid from Botox injection but have from the Phase III studies of the soon-to-be-released competitor. In that situation it took approximately 5 weeks for resolution (from another injector).
The only contraindication to Ipratropium drops is narrow angle glaucoma. The drops work by stimulating the sympathetic response of one of the eyelid retractors to provide further opening and light exposure, however the action can cause pain and discomfort and visual disturbance in a glaucoma patient.
Take heart!
Dr. Pryor
