Iopidine Use for Eyelid Drooping After Botox?

So far it has been a week since I got the Botox injection on my forehead. I have been using Iopidine for 3 days so far. How much longer can I use it until I see improvement? Also, every morning it seems like my drooping eye is getting smaller from the drops, but when I use them, it seems better.

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6 Doctor Answers | Asked by ccp in boston, usa

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Eyelid drooping after Botox will go away in 2 to 3 months.

Hi. This is the most common complication with Botox. The Botox was put too close to the eyelid and weakened one of the two muscles that lifts the lid. The drops stimulate the OTHER muscle to work a little harder, and so it helps temporarily to open up the eye. Basically, the Botox effect on the main eyelid "lifter" just has to wear off, and this can take 3 months. In the meantime, use the drops.

Months

Thankfully we have lopidine when there is that unfortunate lid ptosis from Botox. However, as long as the lid is paralyzed you will have to use the drops. Since it works for you just keep using it. Sometimes the amount of Botox that gets into the lid retractor is less than the glabella so it might only last a few weeks rather than months.

Botox and Eyelid/Eyebrow droop

Dear Caposa, eyelid droop after Botox is not common. Iodipine is a good form of therapy however you can also use Naphcon A which is over the counter and less expensive. Iodipine can cause some irritation of the eyes where as Naphcon A does not. The eyelid droop can also be partially due to the forehead muscle being weakened too much causing the eyebrows to fall down and push on the eyelids. With Warm Regards, Trevor M Born MD

Non-response to Iopidine is rare

I would call your doctor. I am thinking you may have a lid droop combined with a brow droop. Iopidine does nothing for brow droop, but injections of Botox into key points may improve the brow droop. In any case, a follow-up visit is in order. I am sure your doctor wants to resolve your complication quickly.

If you are not responding to the Iopidine, the droop could last 4-6 months

Dear Caposa Commonly, a droopy eyelid after cosmetic BOTOX does not last but a couple of weeks. Generally there is a good response to BOTOX in these situations. I just competed a study of 7 patient with persistent ptosis (drooping) of the eyelid after cosmetic BOTOX. What we learned is that these people did not respond to Iopidine until the BOTOX was about 4 to 6 weeks from wearing off. I recommend to physician that the response to Iopidine be used to predict how long the droopy... more

Kenneth D. Steinsapir, MD

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Los Angeles Oculoplastic Surgeon

Droopy eyelid may last 4 weeks

Hello I am glad iopidine is helping you. When one sees deooping after Boitox, it could take anywhere from 2 to 5 weeks before you see significant improvement. I would continue to use the Iopidine, but do check with your doctor as to how long you can use it safely. Botox effects do reverse , so hang in there for now.