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I've Been Using Botox for Four Years Now and As I Look at my Eyes, They Seem to Look Smaller and Smaller. Why is This?

asked 6 months ago by JJ in T.O. in Richmond Hill, AB
Latest answer by Ronald Shelton, MD
Question viewed 299 times
Tags: eyes, 4 years post-op

Also, I've noticed my already hooded eyelids look even heavier...I really believe this has something to do with the injections. But why?

13 answers to I've Been Using Botox for Four Years Now and As I Look at my Eyes, They Seem to Look Smaller and Smaller. Why is This?

My Eyes Look Smaller after Botox?

Hi TO. There is more than one explanation, but without photos it's difficult to say what is happening. One answer is that this is just part of the natural aging process. As we age, gravity pulls our facial features downward. This may be happening naturally with your brow, which puts more downward pressure on the lids, which can make the eye appear smaller - less of it is visible. As we age, the skin on the upper eyelid becomes less elastic. This... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botoxfor the forehead lines or glabell "11" creases or frown lines

Without ever having Botox, the areas of the forehead which are tight and in a naturally-elevated position in our twenties, start to lower in our thirties and forties. With this, the sling support of the eyebrow / upper eyelid complex weakens and we develop "hooding" of the upper eyelids which makes the eyes looks smaller. When my patients first saw me when they were much younger and did not exhibit lowering of the upper eyelids they underwent forehead... more

Ronald Shelton, MD
Manhattan Dermatologist

Effects of aging

Most likely you are seeing the effects of aging and routine brow ptosis (droop). Any ptosis or droop from Botox would be transient and resolve after a few months.

Richard Galitz, MD
Miami Facial Plastic Surgeon

Too much Botox can cause heaviness of brows

Overtreatment of the frontalis muscle in the forehead can cause brow heaviness and upper eyelid hooding that may appear to make the eyes look smaller. Thoughtful placement of the Botox (using small amounts) in the forehead, glabella, and lateral brow, and lower eyelid can often "widen" the appearance of the eyes. Aging is a dynamic process. Part of what you are describing may be due to volume loss. Volumizing agents and/or fat may be able to address... more

Melanie D. Palm, MD
San Diego Dermatologic Surgeon

Eyes looking smaller after botox

It would be very helpful to look at your pictures (and pictures of your eyes from years ago). Most likely you are referring to the aging process as your brows descend over time, your eyes start to look heavy, your upper eyelids seem fuller. But once again, without pictures, this is just a speculation. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

The botox weakens the frontalis muscle.

The frontalis muscle is the main elevator of the eyebrows. BOTOX treatment in the forehead weakens this muscle. This means the forehead relaxed and the eyebrow fall. The upper eyelid fold gets heavier as this muscle relaxed.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lids smaller after botox.

You probably are getting some descent from aging which is being exaggerated by the Botox lowering your brow a little. I suggest you reevaluate after the Botox has completely worn off. You may need a lid or brow procedure at this time.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

Botox does make eyes smaller

You need to loo at the older pictures and compare them to pictures now. the eyes will age like other parts of the face. The best thing would be to get a consultation with a board certified plastic surgeon.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

I've Been Using Botox for Four Years Now and As I Look at my Eyes, They Seem to Look Smaller and Smaller. Why is This?

I have used neurotoxins like Botox, Dysport and the newer Xemonin,for over 20 years to soften unwanted lines and wrinkles. Without photos of your eyes then and now I'd have to guess that it's an increase in upper eyelid fullness that's causing this apperance. This may be from repeated Botox too close to the eyebrows causing them to drop or may be related to an actual increase in excess upper eyelid skin.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Upper Eyelid Drooping and Botox

Botox, if injected in the wrong place, can cause temporary droopoing of the eyelids. That will reverse as the botox wears off. I suspect what you are seeing is a gradual descent of your upper eyelids and brows due to the aging process. The treatment for that is surgical re-lifting of the brow ( brow lift) and sculpting of the eyelids (blepharoplasty).

Philip Miller, MD
New York Facial Plastic Surgeon

Smaller eyes after Botox injections

It would be helpful to have a few pictures to evaluate your case. One possibility is that you are being receiving a larger amount of units to the Frontalis muscle (the muscles that elevates the brows) and not enough units to the Glabellar muscles (frown lines muscle) and the Orbicularis Oculi Muscle ( muscles that close our eyes shut). Although the procedure of Botox is straight forward the results require experience and is some what of an art. There needs to synchronization between the... more

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Botox and eyelid hooding

Botox does not cause hooding of the upper eyelids. If you are receiving injections above the eyebrows, what may be occurring is that, with further aging, your brows are sagging and the upper eyelid skin also becoming more redundant. Botox only goes so far. You may be at the point where an upper lid blepharoplasty or brow lift is indicated See a board certified plastic surgeon who can evaluate you and make a recommendation.

Robert L. Kraft, MD
New York Plastic Surgeon

Botox making my eyes look smaller

The question about Botox being used for several years and resulting in eyes that look smaller is an interesting one with multiple possible answers. The most obvious is that you are a few years older so your lids have aged and even though they may appear to look smaller, they would likely be worse if you had not had the injections. The second possiblity is that the injections are lowering your brow because you need it to support the lid and this is resulting in smaller appearing eyes. If this... more