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Is It Possible to Get Droopy Eye Lids Right After Botox Wears Off?

asked 4 months ago by Sharon T in New York, NY
Latest answer by Ronald Shelton, MD
Question viewed 177 times
Tags: between eyebrows, droopy, normal, wear off

I had botox injections between my eye brows, forehead and just above my eyebrows about 4 months ago. After a few trials to correct the shape/arch of my brows, the final end result was fine and I was pleased. However after about 4 months when most of the Botox wore off, I noticed that my right eyelid drooped significantly and it's been that way for more than 2 weeks. Can this be related to botox as I can't think of any other reason for this occurrence. Please help and comment.

11 answers to Is It Possible to Get Droopy Eye Lids Right After Botox Wears Off?

Botox and Droopy Eyelids

As the Botox gradually wears off (key word being "gradual"), it would not be likely that what you are now seeing is linked to the Botox treatment four months prior. As panel members suggested, you may be more aware of the heaviness of the lid because the Botox was improving this area. In our practice, we take before/after photos to better assist practitioner and patient on their assessment. We encourage you to discuss your question/concerns with your injector for... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox adjustment for eyebrows

Depending on the time course of your first and last botox injections, as the glabellar botox (between the eyebrows) has vanished, the lifting effect of the glabella is now gone and possibly the more recent secondary adjustment injections near the eyebrow which can lower the eyebrow, are still active and lowering them. Your doctor may be able to utilize all the different injections you've had and do the next treatment with these insertion sites so you get longevity of the full benefit of... more

Ronald Shelton, MD
Manhattan Dermatologist

Is It Possible to Get Droopy Eye Lids Right After Botox Wears Off?

It's more likely that some effects of the Botox injections over the eyebrows persists. Neurotoxins don't cause permanent effects. The droopy eyelid is most likely realted to a lowered eyebrow, on that side, from the Botox. wait a month or so to see if this resolves on its own, IMHO.

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

Botox wearing off and ptosis.

Botox should not create any permanent ptosis. If you had multiple injections over time some of the botox maybe still present. You need to let all of the botox wear off which should occur 3-4 months after your most recent injection. Often patients who develop ptosis or eye lid droop from botox may actually have had preexisting mild ptosis which they compensated for by lifting their brow. You should have your Dr Assess your eyelids after all botox has worn... more

Philip Solomon, MD
Toronto Facial Plastic Surgeon

Droopy lids after botox wears off are not due to botox

The botox that was injected several months ago to your glabella and lateral brow gave you a brow lift. When botox wears off (usually takes 3-5 months), your skin will return to its starting position. Botox has no permanent effect. But, remember, Botox does not wear off abruptly. It wears off gradually. I suspect that the reason why you are noticing more droop on the right is that most of the botox has worn off on the right, but there is some... more

Melissa Chiang, MD
Houston Dermatologist

Much depends on the treatment pattern of the botox you received.

I would recommend you return to you injecting physician and let them assess you. Hopefully your doctor obtained photographs prior to treatment. If not, determining precisely what is going on will be more challenging.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Eyelids and Botox

I highly suspect you had the heavy upper eyelids prior to your Botox treatment, the Botox gave you a brow lift which cleaned up the redundant skin in your upper eyelids, and then when it wore off your eyebrows went back down and the redundant skin returned. There is definitely no way that Botox wearing off would cause such a condition if it did not exist prior to getting the treatment. As you mentioned, you had touch ups to adjust the shape of your eyebrows, this shaping in some part... more

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

Droopy eyelid after neuromdulators

The results of the droopy eyelid should be seen with in the first two week of the injection due to effect on the eyelid levator muscles. At 4 months after the injections that is not due to the effects of the neuromodulator. If it persist consult your doctor for further evaluation. Good luck !

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Botox and droopy eyelids

Botox rarely causes eyelid drooping or ptosis. When it does, it is apparent at the onset of Botox effect (within 1-2 weeks). If you noticed it after 4 months, it is unlikely it is related to the Botox. If you had any baseline photos taken prior to the injection, it may be helpful to take a look at those. Sometimes the Botox can mask "imperfections" that you did not notice before, and once the Botox wears off, they become more noticeable. If the... more

Narin (Joe) Apisarnthanarax, MD
Houston Dermatologist

www.clearlakederm.com

All of your Botox hasn't worn off

I am slightly concerned that you said you have to have a "few trials" to correct the shape/arch of your brows. I can't understand why that would be necessary with a good injector and why more than one touch-up would be needed. My guess is that because you had to undergo a "few trials," some, but not all, of your Botox has worn off. Meaning that some is still working and now allowing some muscles to function and create lines, and others, not. I don't know how long... more

F. Victor Rueckl, MD
Las Vegas Dermatologist

www.lakesdermatology.com

Botox and Droopy Eyelids

When Botox (or other neurotoxins) are injected properly by a well-trained, board-certified dermatologist or facial plastic surgeon, droopy eyelids can and should be avoided. However, if it happens, it is usually because the neurotoxin was injected too close to the eyebrow and/or too much was injected. Droopy eyelids secondary to a lowered eyebrow are usually seen within 1 to 2 weeks of the treatments and typically wear off as the neurotoxin wears off. There are also... more