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Droopy Eyelid, and Blurred Vision Which is Affecting my Driving, and Causing Me to Feel Nauseous and Dizzy

I have been having botox without incident for a couple of years, including forehead...eyes only minimal. One week post injection, my L eyelid began to droop and my vision was affected. Went to surgeon, who prescribed apraclonidine 5ml 1 drop 3X day. It has been 4 days since I started with the drops,& must wear patch on good eye, I was tld 2 wks to recover but much to my dismay I woke up today, with a droopy smile L side. I look like a freak.

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8 Doctor Answers | Asked by bessy in Melbourne

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Complications of Botox

Botulinum toxin relaxes muscles. If a provider injects the Botox too low on the forehead it can affect, especially with diffusion of the Botox, the levator muscle of the upper eyelid and the eyelid can droop. Too much Botox in a droopy sagging forehead can worsen this droop and then the forehead can't help pull up the eyelid which had started to sag because of age. Botox could cause double vision if injected too close to the eye muscles. Botox injections for Crows feet, could... more

Droopy Eye, Blurred Vision, and Facial Droop after Botox

A droopy eye and blurred vision are not uncommon side effects of Botox. These may be managed with eye drops that increase sympathetic input to the eye, such as iodipine or neosynephrine. Your facial droop is unlikely to occur secondary to the Botox. Your symptoms together could be caused by a neurological problem, such as Bell's palsy, multiple sclerosis, or stroke. I would advise seeing your medical doctor as soon as possible.

Botox and ptosis

Your comments regarding the eyelid drooping or ptosis of the eyelid post botox iinjection is a known side effect and the drops your physician has started you are the indicated treatment. I personally have experienced a slight degree of ptosis after an injection myself and the ptosis went away within weeks. However the drooping of the mouth unless injections were done there are not an indicated side effect and certainly nothing I have seen in my many years of injecting. I would see your... more

Michael Elam, MD

87 reviews

Orange County Facial Plastic Surgeon

michaelelammd.com

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Droopy eyelids should improve rapidly

For better or worse, BOTOX is never permanent, and when you get a droopy eyelid it always improves before the BOTOX wears off in the Forehead/eyebrows or where ever you were treated. It typically takes weeks rather than months to improve. No one likes side effects, and luckily they are rare. Hang in there and please don't give up on BOTOX. It is still the number one cosmetic procedure in the world for good reason. Stay in close contact with your doctor so... more

Smile Affected by Botox?

Hi Bessy. When we read the first part of your question about the eyelid, it seemed to be a clear case of "ptosis" - the drooping of the eyelid or eyebrow because of poorly placed Botox. But as we read further, the issue with the smile raised different flags. The Botox is very likely not related to the smile issue for two reasons. The first is it does not sound like you were injected in the mouth area and secondly, symptoms like you are describing would... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox

The eyelid manifestation could easily be Botox related. However, the smile line change does not (unless Botox was injected in that area). Please call your treating doctor for prompt evaluation.

Please see your doctor immediately about drooping side of the face

Botox injections can possibly result in drooping of the eyelid and blurry vision, but a drooping smile usually is not a side effect of Botox injections in the forehead, and can be a sign of a neurologic problem that needs to be addressed. Please see your doctor immediately for a proper diagnosis.

Better to back to the doctor who treated you

The symptoms you describe could be related to treatment with BOTOX® [or another formulation of BTX-A], or could be the result of an unrelated medical condition. If I were you I would return to the physician who injected you in the first place [hopefully it was a physician and not some sort of non-physician or spa]. The treatment records need to be reviewed to determine how this treatment differed from your previous treatments [dose, location of injections, formulation of BTX-A which... more

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