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Sirish Maddali, MD answers: Using Alphagan for droopy eye from Botox

Would it be okay to use Alphagan P 0.1% to treat a droopy eye cause by Botox even though I don't suffer from glaucoma and neither require medication for lowering the eye pressure? I am concerned about the fact that I am using a medication that is primarily used to treat a condition that I do not suffer from. This is my 3rd week post-Botox and I still have droopy eye. Thanks again for your kind reply. 


Sirish Maddali, MD
12 months ago
By Sirish Maddali, MD - Bay Area Plastic Surgeon

Alphagan and Iopidine are commonly used to correct a "droopy" eyelid after Botox. It is actually quite safe and as pointed out by Dr. Shafer, the only contraindication is use of a monoamine oxidase inhibitor.

The "droopy" eyelid usually lasts somewhere between 3-5 weeks on average. The effect of the Botox on the wrinkles lasts 4 months on average. You are hopefully close to not needing the drops any more. The muscle on the inside of the eyelid is contracted with these drops, causing the "droopy" eyelid to normalize. Once you notice your eyelids look normal, just stop using the Alphagan.

Good luck.

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