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Bad Eyelid Droop After Botox, Dr. Said It's Because of Fractured Skull, But I've Never Had An Injury... What's The Cause?

asked 3 months ago by One eye
Latest answer by James M. Kurley, MD
Question viewed 166 times
Tags: eyebrows, causes, droopy eye, fracture

I just had 20 units above my brow now 1 eye is half closed. I look AWFUL & vision is compromised. The P surgeon gave me no post op advice, claiming there was none to give. I have since learned otherwise! He's blaming it on a fracture to my skull he claims I have, though I never had an injury. The over the counter drops aren't working. Will prescription drops work better? Could a fracture cause the Botox to travel? Or is it due to possibly rubbing my brow or sleeping after the treatment? Help :(

6 answers to Bad Eyelid Droop After Botox, Dr. Said It's Because of Fractured Skull, But I've Never Had An Injury... What's The Cause?

+3

WIth due respect to Dr. Nayak, the drooping can last much longer than 6 weeks.

You did not supply a photograph so I am presuming that you have developed actual upper eyelid ptosis where the eyelid margin blocks the pupil. It is also possible to have eyebrow ptosis where the eyelid margin position is normal but the eyebrows are very heavy. Brow ptosis does not look good but it is generally considered to a less serious problem. Upper eyelid ptosis after BOTOX occurs when the BOTOX injection results in the agent getting into the orbit and affecting the... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+2

Botox and eyelid droop

Excessive rubbing could cause the Botox to migrate and diminish eyelid muscle movement. Placing the Botox too close to the eyebrow can also allow the Botox to diffuse and cause the issue you relate. Fortunately the eyelid droop does not usually last as long as the normal treatment result would. Sorry to hear you had this happen.
James M. Kurley, MD

Champaign Plastic Surgeon
+2

Bad Eyelid Droop After Above Brow Botox

Without Before and After photographs it is impossible to make any comments specific to your situation. I have treated many people with Botox since 1997 and I have never heard of a silent, subclinical skull fracture nor of such a fracture causing botox to sip into the eye orbit. Furthermore, EVERY person getting Botox needs to be told what he / she cannot do. Among the don'ts is vigorous rubbing of the areas around the head toward the upper lid. Doing so may cause the botox to weaken the... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Botox and eyelid droop

True eyelid droops are unrelated to drops of the eyebrows. The levator aponeurosis can be affected and may need prescription eyedrops, such as Iopidine, to help lift, to some degree, the eyelid. It will take up to four months to become normal.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Eyelid drooping after Botox

Drooping eyelids are very uncommon with Botox injection. But, sometimes Botox can migrate in the area from persistent rubbing just after treatment or poor injection technique. Eyedrops usually help to improve the condition. It will get better but may take a few months.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Eyelid droop after Botox

While eyelid droop after Botox is rare, it does occur. This occurs from Botox affecting the eyelid opening muscle. Most cases I have heard of do not involve any previous fracture. Pressing/rubbing on the area in the first 24 hours can cause the medicine to move, as can injection technique. The good news - it will mosty wear off by 6 weeks, and drops can help (as can additional Botox into the opposing eyelid muscles, although this is a VERY advanced technique).
Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon

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