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Botox Gave Me a Droopy Eyelid but Also Got into the Eye Muscle

asked 1 year ago by meli79 in texas
Latest answer by Ronald Shelton, MD
Question viewed 1,637 times
Tags: eyelids, eyes, droopy, vision

I have a droopy eyelid from a recent botox injection, but aside from the droopy lid, the muscle has also been affected and my gaze is off (the droopy lid eye is very dilated and points upward). Will this go away in a few weeks, along with the droopy lid? Focusing my eyes is very difficult at this point. I am currently taking drops for the condition, but very concerned about my eye functioning (not to mention it's embarrassing).

15 answers to Botox Gave Me a Droopy Eyelid but Also Got into the Eye Muscle

+2

Is the eyelid drooping responding to the drops?

Dear Scared First bit of advice is that while anyone can drop an eyelid, this type of problem is quite rare now with experienced injectors.  So it is likely that the person who injected you has not done enough treatment to figure out how to avoid this complication.  You might factor this into your decision to return to this injector for more service. If the iopidine eye drops are opening the droopy lid, this is an indication that the unwanted toxic activity of the BOTOX is... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Droop of eyelid and eyelid muscle

There may have been Botox that diffused to the extraocular muscle that controls downward eyegaze so now the upward eyegaze is unopposed. The Botox effect for the droop and muscle imbalance may take three months or more to correct itself. There should not be any long term effect. See an ophthalmologist to undergo a full eye exam and determine if there is a treatment such as Botox in the unnopposed muscle to help make the eye gaze straight (you wouldn't be able to look up or down with that... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

Botox causing vision changes (from "Radiesse Worries"!)

Radiesse Worries, Your name worries me. You must have had problems with Radiesse injections in your original posts on here, and now you are writing about a horrible (temporary) and rare side effect from Botox. It makes me wonder if your injector may not be a properly trained, conscientious, board-certified dermatologist or plastic surgeon. If not... please go to one immediately AFTER going to see a board-certified OPHTHALMOLOGIST (Eye MD, not optometrist) for your vision changes. Do not... more
Jessica J. Krant, MD, MPH

Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

+1

Droopy Eyelids with Botox

The good news is that Botox is always temporary.  The bad news is that it may take a few weeks or months to completely wear off.  If there is any concern that you should follow closely with your doctor and perhaps have a referral to an ophthalmologist if necessary or to relieve any concern.   Good Luck.
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Botox and Eye Complications

Droopy eyelid is rare, but recognized, as a potential complication of treatment of the glabella.  Fortunately it is temporary and often improved with drops, as apparently your injector has prescibed for you.  On the other hand, impairment of eye gaze in any direction is not something I have ever heard of from proper Botox injection.  Hope it will be temporary for you, but I'd recommend Ophtho. exam, with a dialogue between your injector and the Eye MD about what... more
James Bartels, MD

Manchester Facial Plastic Surgeon
+1

Eyelid droops after Botox Cosmetic

Hi jaw hurts in georgia, Ptosis, a droopy upper eyelid, is uncommon and may occur with anyone after any neuromodulator treatment around the eyes, such as Botox Cosmetic or Dysport. Ptosis is temporary and resolves once the Botox effect is gone, usually within a couple months. This temporary eyelid ptosis is usually treated with eye drops, such as iopidine 5%, to help stimulate other muscles to lift the eyelid. Massage or facial exercises don't help to improve ptosis. Also, one... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Droopy Eyelid after Botox

The droopy eyelid secondary to Botox is temporary. However, I recommend you see an opthalmologist or neurologist  to evaluate your weakness and follow you as this resolves.  Iopidine 5% eye drops are sometimes helpful.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Droopy eyelid may happen with Botox but gaze deviation is not normal or expected

I recommend an immediate consultation with your ophthalmologist to determine what is happening with your eye. It would be very difficult to inject into the muscles that control eye movement from the surface. And it would have to be a large amount of botox injected that could diffuse that far from an indirect injection.
Emily Altman, MD

Short Hills Dermatologic Surgeon
+1

Wow. That's an unfortunate result...

But you must make sure that it is indeed due to the Botox.  You should have a consultation with a Neurologist to rule out an underlying neurologic condition that may have been unmasked by the Botox.  Good luck!
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

Botox Gave Me a Droopy Eyelid but Also Got into the Eye Muscle

Things will correct over a few months. Best to be under the care of an eye doctor. From MIAMI Dr. darryl j. blinski
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

BAD BOTOX - Droopy Upper Lid and Inability to Look Down after Botox

Ideally, Botox should only be injected by physicians who are familiar with the anatomy of the areas they are injecting. Doing so would result in massive financial losses to Allergan, producer of Botox, who is not very particular about the level of training of the persons actually injecting its product. (Leaving such ethical concerns at the door transformed Allergan into the largest cosmetic company in the world. Allergan began in 1950 selling nasal spray. In 960 it reported 1 million... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Droopy lid from Botox

This is a known complication from injecting Botox around the eyes. It does go away after several weeks to 2 months at most. The dilated pupil is not expected and as some other doctors have mentioned, in experienced hands this would be unlikely though possible.  So a consultation with an oculoplastic surgeon is best.  If you do not have an oculoplastic surgeon in the area (Atlanta does for sure ) then see an opthalmologist. There are eye drops that will help.
Shawn Allen, MD

Boulder Dermatologist
+1

Droopy lid and gaze problem with botox

A droopy eyelid can happen with Botox injections that migrate into the upper eyelid, but I have never seen it affect the eye muscles themselves.  It shodl get better over a few months time.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Droopy eyelid from Botox is unusual

I have never seen anyone get a droopy eyelid from Botox, though it is a well known complication and can certainly happen in even experienced hands, I'm sure. The issue with your gaze is quite disturbing though. I would discuss this with your injector, and even consider seeing an ophthalmologist if the injector does not have a good reason it happened, (ie. the injection was placed IN the eyelid). You might want to consider seeing a very experienced injector for a second opinion before... more
Andrew Campbell, MD

Milwaukee Facial Plastic Surgeon

www.campbellplastics.com

+1

Droopy lid from botox.

This will go away in a few weeks. Don't worry in the meantime though I know this is most distressing to you.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

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