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Is Botox for the eyelid a good or bad idea?

asked 7 months ago by anon
Latest answer by Ronald Shelton, MD
Question viewed 454 times
Tags: eyelids, droopy, droopy eye, filler, frequency, injection, recommendation, statistics

How Often Does a Drooping Eyelid Occur from a Botox Injection?

16 answers to Is Botox for the eyelid a good or bad idea?

Botox for the eyelids

Excellent feedback from panel members with a few interesting side notes worth commenting on. Although off topic, it's worth pointing out that a good and safe Botox treatment doesn't necessarily mean shopping for the cheapest price. When a practice is advertising very cheap prices compared to what is standard and customary, one must consider where the product is being purchased from or what the product actually is. We all understand the need to seek the best value... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Drooping eyelid from Botox

The way in which an upper eyelid is addressed by Botox injections is to treat the glabella muscles and other depressor muscles of the forehead to help lift the eyebrows which in turn, can elevate the upper eyelid in some patients. There is no direct treatment of the upper eyelid with Botox. Reasons why an upper eyelid might fall down... 1. if the forehead is treated in a patient that already has sagging of the forehead and has to constantly use the muscle elevation of the forehead to... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox for eyelid is a bad idea

Botox should not be injected in the eyelid. It can be used to lift the brow laterally to show more of the eyelid crease. This can be done easily by providers who know the anatomy and interactions of the muscles.

Kyle S. Choe, MD
Virginia Beach Facial Plastic Surgeon

Botox is not for the eyelid

Botox is never used on the eyelid. Dropping eyelid, although rare, can occur which is why it is important to see an expert injector.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Botox and Eyelid Drooping

The possibility of an eyelid drooping after Botox is extremely rare (1%) if you go to an experienced injector. This occurs when treatment is done for the frown lines. This is not a risk when treating the crow's feet area.

Lori Stetler, MD
Dallas Dermatologic Surgeon

Drooping eyelid can result from Botox but this is temporary and RARE (with an experienced injector)

A drooping eyelid can result from Botox but this is temporary and RARE (with an experienced injector). A thorough understanding of facial anatomy and use of Botox make this complication very uncommon. There are no guarantees in aesthetic medicine but an experienced injector can give you the best shot at a great result without any complications. Thank you for your question. Stephen Weber, M.D., Ph.D. Lone Tree Facial Plastic Surgeon

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Botox is not for eyelids

Anyone can inject Botox or Dysport but doing it safely and correctly requires a comprehensive understanding of functional anatomy to maximize outcomes. Each patient needs to be thoroughly assessed and have a specific treatment plan developed based on patient desires and a comprehensive aesthetic evaluation. It is as much an art as it is a science. And there is no substitute for experience. Choose your physician injector carefully.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Droopy eyelid post Botox

I almost never see a droopy upper eyelid after Botox injections. In fact, I cannot remember the last time that this occurred in my practice. Brow ptosis (lowering of the brow) is a different story. It is relatively easy to cause a brow ptosis if one injects too much Botox into the forehead and relaxes the brows elevators too much. I treat the forehead in a conservative manner to avoid any risk of brow ptosis. I tell my patients that I can always... more

Richard Ort, MD
Lone Tree Dermatologic Surgeon

Is Botox for the eyelid a good or bad idea?

I have used Botox to soften unwanted lines and wrinkles for over 20 years and I'm not sure what you're trying to accomplish with the Botox? Upper eyelids, should not be injected with Botox IMO. If you have fine lines and wrinkles of the lower eyelids, Botox can be injected but the eyelid muscles. once weakened by the Botox, may cause the lower eyelid(s) to sag and remain in that position for 3-4 months. For that reason, I typically will do a lower eyelid chemical instead... more

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

Drooping of the eyelid occurs infrequently after Botox with experienced injectors.

The chance of having a droopy eyelid after Botox is less than 3% with experienced injectors. Even if it does happen, it usually gets better in a few week and in most cases several months before the rest of the desired Botox effect disappears. Fear of this of this side effect is not a good reason to avoid the beneficial effects of Botox treatment.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

The truth is that a very experienced injector can carefully place BOTOX almost anywhere.

Generally though, BOTOX placed in the lower eyelid can cause the eyelid to slump. In the upper eyelid, too much treatment can cause a dry eye or even an eyelid ptosis. So unless you have a very particular reason for having BOTOX in the eyelid and are working with a very experienced injector, this is going to be a bad idea.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Is Botox for the eyelid a good or bad idea

Your question is very important. First, it is never a good idea to inject upper lid. NO good can come of it. The bottom lid can be injected to increase the aperature and produce a wider eye but should only be done by experienced injectors and where indicated. To answer your second question, it is important to distinguish between droopy lid and droopy brow. Over injection of the frontalis muscle on the forehead is a common error made by inexperienced injectors which... more

Peter Malouf, DO
Dallas Dermatologist

mytotalskincare.com

How Often Does a Drooping Eyelid Occur from a Botox Injection?

It would depend on WHO you entrust your face to do your Botox treatments. I have been injecting Botox for many years and have never caused a droopy eyelid but I have seen quite a few come to me for a second opinion after Botox injections done elsewhere (Ob-Gyn, Family Practice and certain salons). Choose your injector carefully. Peter A Aldea, MD

Peter A. Aldea, MD
Memphis Plastic Surgeon

Droopy lid after Botox

Experienced Botox injectors see a droopy eyelid (ptosis) once out of several hundred injections. The best things to do to avoid eyelid ptosis include going to a physician who is very experienced in performing Botox injections, avoiding rubbing the area for several hours and not performing strenuous activity after your injection.

James McMahan, MD
Columbus Plastic Surgeon

Botox technique-avoiding droopy eye

Great question. First, it's really important to know that the Botox your doctor injects is from Allergan Corporation and not bought in the "grey market". Unfortunately, it's more expensive to buy from the source but don't be afraid to ask the question and to walk away if the office doesn't confirm it! I inject Botox frequently in the glabellar area (between the eyes) and also above the eyebrows to achieve a more youthful appearance. I've... more

Robert L. Kraft, MD
New York Plastic Surgeon

Droopy eye after Botox

When properly injected into the glabella, and with the patient following post-injection instructions, the droopy eye issues should be quite rare. I have had only one case and it happened when the patient put pressure on the area of injection after the shots and pushed the Botox to where it did not belong.