Puffy upper eyelids after Botox?

I had Botox around my eyes 10 days ago, and I like the results. However, since then, I wake up to very puffy upper eyelids, regardless of my salt intake. This fades away slowly, and by mid-afternoon, I am back to normal, only to wake up to it again. Is this a side effect Botox? What can I do about it?

3 answers to “Puffy upper eyelids after Botox?”

A: Should Resolve in a Few Weeks

Arnold R. Oppenheim, MD

 This is an effect of Botox on the upper lids that have lost some of their squeezing power. Most likely your physician injected a bit more Botox into your forehead (frontalis) and this has caused downward pressure on the upper lid. It probably gave you a good result on your forehead, but at the expense of... more

A: This is a very rare side effect of Botox.

George J. Beraka, MD

Hi!  Botox relaxes muscles so that -- very rarely -- they cannot squeeze liquid in the tissues out, and you look puffy.  As you are upright during the day, gravity drains the fluid out, and you look better. This will last 2 or 3 months.  Next time, I would try fewer units of Botox, and farther... more

A: It is possible

Leslie H. Stevens, MD

 Botox works by essentially paralyzing the muscle it is injected into.  Soft tissues of the eyelid are very sensitive to fluid shifts and  occasional swelling or puffy eyes is normal at any time. As the fine circular musculature surrounding the eyes contract, they act as a pump to squeeze the... more

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