Inconsistently Drooping Eyelids After Botox

asked 3 years ago by Droopy eyes in regina
Latest answer by Sheri G. Feldman, MD
Question viewed 20,583 times

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?

6 answers to Inconsistently Drooping Eyelids After Botox

Botox and droopy eyelids

A droopy eyelid is one of the side effects of Botox. It is rare but can occur up to two weeks after injection. To avoid this, Botox should be injected at least 1 centimeter ( about a half inch) above your brow and not lateral to your mid pupillary line when you look straight ahead. Iopidine drops may help alleviate this problem. The usual dose is 1-2 drops 3 times daily until the problem resolves.

Sheri G. Feldman, MD
Beverly Hills Dermatologist

Drooping eyelids after Botox

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 wears off. Avoiding injections too close to the upper eyelid may prevent this problem in the future (Botox can diffuse up to a distance of 3 cm from the injection site). Good luck.... more

Bryan K. Chen, MD
San Diego Dermatologist

Botox technique until proven otherwise.

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 and overly elevated eyebrow. The upper eyelid fold is thin and rests low on the eyelid platform but does not rest on the eyelashes. The upper eyelid margin (portion of the eyelid with the eyelashes)... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

You may need more than Botox

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 board certified plastic surgeon or resubmit your pictures on the Realself.comsit or email me your picture at khoobehi@aol.com. Botox is agreat treatment but more important is the... more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

It is likely the technique

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

Scott E. Kasden, MD
Dallas Plastic Surgeon

A picture of both eyes and before Botox would be helpful

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 lid edge has dropped and you see less of the iris. If the iris position is similar but your eyes feel droopy, it usually means the forehead dropped a little. In patients who need a... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

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