Botox before & after photos
65%
796 reviews
Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Botox Cost $500 average cost

More Eye Drops for Droopy Eyelid After Botox?

I recently had Botox injections in forehead, between the brows, crows feet, and above the right brow for symmetry. I now have a horrible droopy eyelid that is extremely upsetting and uncomfortable. I am presently on Brimonidine 0.2% for prevention of Glaucoma, which I thought would take care of my eyelid. It's not working though. Is it safe to add another eye drop? Thank you. Please help.

Asked 33 months ago by Helen in SoFla in Boynton Beach, Florida

Read my review "The Botox Caused my Eyelid to Droop"

Sort 2 expert answers by:
+1

Use Visine (or generic tetrahydrozoline) eye drops for droopy eyelids after Botox

If an alpha agonist eye drop such as brimonidine fails to minimize ptosis (droopy eyelids) after few days, you should use Visine (or generic tetrahydrozoline) eye drops a couple times a day and you should see some improvement as it works to strengthen Mueller's muscles on eyelids. Mueller's muscles are contracted when you are awake to keep your eyelids lifted. Even without intervention, most ptosis from Botox should subside after 4 weeks.
William Ting, MD
Bay Area Dermatologic Surgeon
+1

Brimonidine is an alpha agonist.

Dear Helen Brimonidine is an alpha agonist and its mechanism of action is analogous to Iopidine, the drop that is customarly used to raise the eyelid after BOTOX causes ptosis. If the brimonidine you are using is not raising the eyelid, it is likely that Iopidine won't either. I recommend that you consult your general ophthalmologist and let him or her supervise you in a one week trial with Iopidine in addition or as an alternative to brimonidine. However, as you don't seem to be... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.