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Droopy Eyes After Botox?

I had botox in my forehead and around my outer eyes,,,after one week I am black and blue around my eyes and my one eye lid is drooping terribly. This was performed at a very reputable plastc suregoens office but by his injection person" ...I am very very upset one eye lid is totally drooping...what can i do about it....

Doctor Answers (11)

Problem after Botox


  Dear asr56, Bruising is the most common side effect after Botox injections. Drooping of your brow may be a result of the bruising or secondary to the brow muscles being weakened. If bruising/swelling are the cause, then the sagging will resolve in another week or so. If it still persists, then you must wait for the Botox to wear off. If your eyelid is sagging (ptosis) then lopidine drops can be effective. I disagree with some of my colleagues about having a nurse injector perform injections. I believe that a properly trained RN or PA with MD supervision can competently inject Botox and other injectables with complication rates that equal my MD colleagues. Even doctors have patients with bruising, drooping brows and eyelids. In my opinion, when seeking treatments from non MD providers, make sure the injector is an RN or PA and has a board certified MD training and supervising them. The good news for you is that the results are temporary. Good luck. #Dr. Gervais

Minneapolis Plastic Surgeon
5.0 out of 5 stars 93 reviews

Droopy upper eyelid after botox


black and blue bruising can occur after any injection, but I'm not sure why you would be black and blue around both eyes unless you have a coagulation problem of bleeding. You should speak to your primary care doctor about this. If you take a medication that causes more bleeding like aspirin, plavix, coumadin, Advil, Ibuprofen, Alleve, Motrin, vitamin E, fish oil, and supplements such as Garlic, Ginseng, Ginko, Ginger and others might be a contributory factor. 

The droopiness may be related to relaxation of muscles too close to the eyebrow and the next treatment should avoid these areas. There are many patients who have heavy foreheads and they don't have much room to droop without causing the eyebrows and upper eyelids to droop further.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Droopy Eyes After Botox

Your symptoms are in line with certain Botox side effects reported after the treatment, particularly eye problems such as double vision, blurred vision, decreased eyesight, and drooping eyelids. Clearly, you are suffering from the last side effect mentioned. I would suggest going back to the doctor and explaining the issue and your frustrations with the results to determine the best course of action. Best of luck. 

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 100 reviews

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Botox and droopy eyes.

There has been such a surgeon the popularity of bow tie almost everyone who can hold a needle is doing it. I think that under the direct supervision of an experienced professional it is probably okay to have someone other than the doctor provide the injection. But the fact is do this in my practice. Even though Botox is not technically a invasive procedure I think it functionally is and patients deserve the experienced hands of a person who knows what they're doing. It's also a great way to develop patient relationships which are important in insuring successful outcomes.

Srdjan Ostric, MD
Chicago Plastic Surgeon

Botox and droopy eyes


Please return to your injector for assessment.  It is possible to have some bruising after injections, and since your forehead was injected, you probably have an eyebrow droop rather than an eyelid droop.  The effect will start to wear off in about one month.  Perhaps the plastic surgeon should administer the injections next time.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 16 reviews

Droopy Eyelids after Botox


Eyelid drooping after Botox can ocur sometimes. This is why you want to have the Dermatologist, Plastic Surgeon or Opthalmologist do your injections and not their assistant. We spend years working with injections and the musculature.The little bit of money you save is not worth it if you have to deal with a droopy lid for 3 to 4 months.You should go where the physician of these specialties is doing the treatments for the patient. If it is the eyelid drooping and not the brow drooping the eye drops Iopidine should erase the problem. It usually kicks in quickly and can solve your problem.Good luck to you.

Esta Kronberg, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 17 reviews

Treating eyelid droop (ptosis) after injection of Botox, Dysport, or Xeomin


Eyelid droop (ptosis) is an uncommon but not rare complication of injection of botulinum toxins into the glabellar (frown) area. It is most likely due to the injection on the brow in the midpupillary line, but may occur from the injection just above and lateral to the nose. The duration is usually only a few weeks but occasionally it lasts the several month duration of the Botox, Dysport or Xeomin injections. If treating with iopidine drops, be sure that you position your head so that the drops go under the upper lid. If they only drop to below the lower lid they won't help pop the droopy lip up.


Kenneth A. Arndt, M.D.

SkinCare Physicians

Chestnut Hill, Ma. 02467

Kenneth A. Arndt, MD
Chestnut Hill Dermatologist

Droopy eyelid


It is very difficult to answer your question without seeing you in person, but based on your description you should have your provider evaluate you. If the eyelid droop you are describing is from the brow, you'll have to wait until the Botox wears off. If the eyelid droop is from the eyelid, then drops of Iopidine will help, and it should resolve in 2 to 6 weeks. It's best to schedule a follow up for proper assessment and have your provider help you determine the next step.

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 144 reviews

Complication of Botox injection

I do not believe that support staff should be injecting Botox or fillers. There are many board certified plastic surgeons and dermatologists out there who spend years in training in facial anatomy. I recommend that you return for a visit with a physician, not an injection person, whatever that means. Best wishes.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

Droopy Eyelids after Botox


While the risk is very low, it is possible to develop temporary droopy eyelid(s) after Botox.  This occurs when the Botox affects the muscle which holds up the lid.  This is less common than and sometimes confused with droopy eyebrows.  Droopy eyebrows are caused by relaxation of the muscle which holds the eyebrow up.  However, there must be a balance because the same muscle which holds the eyebrow up is the same muscle that makes the transverse wrinkles in the forehead.  This is why droop eyebrows, while still very uncommon, are more common than the droopy eyelids.  The great answer for you is that if you truly have the droopy eyelids, then there is a very effective eye drop that you injector can prescribe you.  Also, remember that Botox is always temporary and the drooping will go away.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.