Botox Eyelid Droop

There are many other eyedrops which stimulate the muscles which lift the eyelid and may cause a partial correction. This will likely need to be repeated for 2-3 months and include the meds discussed here such as lopidine, aproclonidine, alphagan, naphcan-A, etc.

The Naphcon does help but the Apraclonidine is thought to be better.  However, here is the story.  I have studied the effect of these drops in individuals in your situation.  The effect of the drops in the first week of treatment predicts the longevity of the side effect.  When the drop is effective,  this suggests that the droppy lid will resolve in 4 to 6 weeks.  However, if the drops are not initially effective, then the ptosis can persist for 3 to 6... more

If your eyelid droop is from the effect on the levator of the upper eyelid from botox being placed close to the eyebrow above the pupil, then Iopidine is the best prescription. The side effect is not permanent and may take up to 12 weeks to fade completely, possibly slightly more but this is doubtful.

I am so sorry that you are having this rare complication from Botox. I have seen it in my own practice less than 0.1% of all cases, but when it happens, it upsets both patient and doctor. Iopidine usually gives several hours of relief. Usually the droop lasts about one month. Interestingly, I have never seen it in first time cases, but rather in patients who had Botox before. And even more interesting is that the ones who bravely tried Botox again, they did not have the droop on... more

If you truly have eyelid ptosis in which you can not open your eye much, then drops such as the ones you were prescribed or iopidine can help. They are all temporary but the good thing is that the Botox affects will wear off in a few months.

Iopidine (generic is clonidine) eye drops is the treatment of choice for ptosis. The improvement is so drastic and occurs in minutes from application. It doesn't last long and requires about 4 times application a day. The good thing about ptosis is that the effect does not last as long the effect of the Botox itself, so you will see improvement within weeks rather than months.

Ptosis or eyelid drooping is reported to occur 3-4 % of the time after Botox treatment. Iopidine is an effective treatment for ptosis however you should discuss this with your surgeon or eye doctor.