The most common reason for drooping eyelids after injections with Botox is that the muscles of the forehead that usually hold the brows up have relaxed (usually because the purpose of the injection was to get the horizontal forehead wrinkles to smooth) causing the lower forehead skin to come down, which pushes the eyelid skin down with it. If the eyelid skin is pushed down enough, there can be some obstruction of the vision by the heavy, drooping upper eyelids. If this is the case, the addition of a small amount of Botox under the lateral eyebrow will relax the muscle that is pulling the eyelid down, causing the brow to elevate slightly which may help your drooping eyelids and vision problem (in fact, every time I inject the forehead for the horizontal wrinkles, I inject the lateral brow as well in order to avoid this issue). On the other hand, if what you are describing is not drooping lids at all but rather something called ptosis (much less common), there is a prescription eye drop that will help with this. Go back to see your injector for an evaluation, or if you are uncomfortable with that, a second opinion from an experienced injector is never a bad idea. Good luck.
Had Botox Injections 2 Weeks Ago; Have Drooping Eyelids & Vision Problems. Any Treatment to Correct?
Doctor Answers (3)
Vision problems after Botox
If the Botox is injected into the wrong plane or location, it can affect the muscles responsible for evelating your eyelid or in rare occasions even affect the movement of globe to allow focusing and keeping a steady gaze with both eyes. In certain instances, eyedrops can help, but in others you may need some supportive care until the Botox dissipates. Please return to your facial plastic surgeon evaluation and management plan.
Drooping eyelids and vision problems from Botox
Please return to your injector. If you are having ptosis, there are eyedrops that can help lift the eyelids themselves and fix this faster. If it's the brows, this won't help though. But please return to your injector for an evaluation and possible prescription.
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