Raised eyebrows and drooping lid after Botox

You are unfortunately experiencing an uncommon complication of Botox injections, that is, eyelid ptosis or drooping of the eyelids. Lopidine can help, but only time will fully resolve the drooping eyelids. You can expect them to improve as early as 4-6 weeks and almost certainly by 2-3 months. You should be... more

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... more

It seems that some of the Botox injected went into the upper eyelid orbicularis muscle and this caused the lid drop (ptosis). The eyebrow elevation is from weakness of the depressors of the brow, so the frontalis muscle (elevator) took over. This could be a desired effect, however if excessive, it could lead... more

To shara, Hi. Unfortunately, you have complications that may take 2 months to go away (hopefully less). The good news is, they always go away. The drops are a good idea. This is why experience and knowledge of anatomy are so important. Botox has to be injected into precisely the correct spots (in general,... more

Too much Botox into the obicularis oculi muscle can cause drooping eyelids and raised eyebrows several ways.   The raised eyebrows are due to frontalis compensating of the eyelid ptosis and paralysis of the obicularis side of the antagonistic muscle pair.  If you did not have... more

This sounds like a result of the Botox. This will be self correcting over the next several weeks. Nothing you can do will change that, so be patient.

It is very important to determine whether you have a true lid ptosis or brow droop. If you have a brow ptosis, one eye opening (distance from top lid to bottom lid) is smaller than the other.  In this case it should resolve within 2 weeks and you should be seeing some improvement with Iopidine. If your... more

Shara, It sounds like you had an unfortunate outcome with Botox. Beside the Iopidine drops, which should help lift your lids a few millimeters, there really is not much that you can do. The good thing is that Botox is always temporary. For your raised brows, you can have them inject a small about of Botox... more

Dear Shara, It sounds like some of the Botox migrated to the muscles that effect your upper eyelid.  Lopodine may help but it may take some time (a few weeks) until you begin to see results. As the Botox begins to wear off, you will also notice an improvement. In these instances, I recommend patience... more

Botox works to paralyze muscles of animation.  Most commonly it is used to treat the frontalis muscle of the forehead to erase wrinkles.  Some doctors inject areas under the eyebrow to elevate it. However, it can accidentally cause eyelid drooping to do injection of the orbicularis oculi muscle. This... more