Inconsistently drooping eyelids after Botox

I have been having Botox now for several years. The doctor has struggled with what he feels is a problem unique to me. Every 2nd treatment or so, 3-4 days after I receive Botox. I wake up in the morning and my eyelids are drooping, badly. The eyelid corrects itself by about 4pm.

The doctor did Botox in forehead and above brow, between brow, around outside of eye and cheek area. I had Botox done on January 16th and loved the results. On Friday, April 3rd I had it done again and by Monday I had the drooping. Comments?

Inconsistently drooping eyelids after Botox
5 answers to “Inconsistently drooping eyelids...”

A: you may need more than Botox

Kamran Khoobehi, MD

From your picture, you need more than botox. You have a lot of skin on your upper eyelid and you are over using you forehead muscles to pull extra skin from your eyelid. You need upper eyelid lift . Botox is not indicated on every body . Wait till the effect of botx is gone and then have an evaluation by a... more

A: It is likely the technique

Scott E. Kasden, MD

As long as it is transient, it is not a big problem (or is it?).  One suggestion that I might make is to ask him to inject a little below the eyebrow, that way it will weaken the eyebrwo depressor muscles, and hopefully eliminate the problem.   sek

A: A picture of both eyes and before Botox would be helpful

Francisco Canales, MD

Hello It would be most helpful to see a picture of both your eyes with the eyebrowas relaxed. There is a difference betwee droopy eyelids (ptosis) from Botox and "droopy eyelids" that mean you feel they are heavier and there appears to be more tissue sagging.  True blepharoptosis means that the... more

A: Drooping eyelids after Botox

Bryan K. Chen, MD

The eyelid drooping is the result of Botox that spread to the muscle that lifts the eyelid.  This can occur from injections just above the eyebrow or around the outside of the eye.  Lopidine eye drops can help strengthen a small muscle that is also responsible for lifting the eyelid until your Botox... more

A: Botox technique until proven otherwise.

Kenneth D. Steinsapir, MD

 Hi Regina First your loyalty to this doctor is commendable.   In evaluating your photo, I assume this is the after treatment position of the eyelid.  You don't comment if this is the eyelid position at its worst but for sake of discussion here, lets assume it is.  The photo demonstrates... more

Comments

Droopy eyes
2 posts
10 Apr 2009

Thank you so much for your response(s). Dr. Steinsapir and Dr. Chen...I think this is exactly what is happening..the botox drifting into my eyelid. I continue to go to this doctor because I do trust him very much. I am really frustrated ...everytime this happens I have to cancel allot of my plans throughout the 3 months as I look disfigured and I am very self conscious. I never know if it will it be perfect this time or will I have droopy eyes for the 3 months. I had botox done by another doctor last year and the exact same thing happened...droopy eyes for 3 months but the treatment before was perfect. I am wondering if my anatomy is confusing the doctors. I had a face lift and brow lift done 4 years ago. Is it possible that my muscles are in a different place because of the surgery? My doctor knows of these procedures. As stated in my original post...this problem doesn't happen every time...about every 2nd treatment and it lasts for 3 months..sometimes it is worse than others..right now both eyes will recover by 4pm ..but other times they don't recover at all throughout the day and I suffer with droopy eyes for the full 3 months, 24 hours. Left eye is always the worst and droop lasts longer on the left. When I receive the botox and I don't experience the droopy eyelid...it is absolutely AMAZING!!!.....my eyes are absolutely beautiful and youthful..there is no creepyness, no drooping. I have a refreshed look from the time I wake up until I go to bed. I just want to have these results all the time. Thank you so much for your comments/suggetions..I will have my doctor reveiw them.

Post your question

Botox before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.