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Droopy, Saggy, Swollen Eyelids from Botox Still Present 1 Month Post Injection- is This Permanent? (photo)

I am one month post botox injections (21 units between forehead/gabella) and still have severely swollen eyelids. I have NOT improved at all in nearly 5 weeks. My eyes are sunken into my head and I am terrified this will be permanent. I seen a plastic surgeon yesterday and he told me I will now need eyelid surgery to repair the damage caused by the botox. Please tell me this isn't so :'(. Will I really need eyelid surger @ 28 because of botox?! Please see my before/after pictures and comment.

12 Doctor Answers | Asked by anonymous104
+1

New Surgeon byVillar

Surgery for brow ptosis due to Botox is inappropriate. Find a qualified surgeon. The Botox will wear off and you will return to your normal self in a few months. By experimentation, a skilled surgeon can find the location and dosage that will soften your wrinkles and minimize brow ptosis (droop). You may well need lid surgery, but it should be judged off Botox not on it. BOTOX® molecules attach to a nerve ending membrane. They are then internalized into the... more
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Botox is not a permanent effect so run not walk if someone says you need surgery

YOu may not have a result you desire, but if caused by Botox it should revert to your normal and it will not be permanent. You might benefit by a smaller dose the next treatment. Sometimes, more lift of the droopy eyebrows / upper eyelids can be accomplished by injecting more units of Botox in the glabellar depressor muscle sites. Other times, the maximum lift has been accomplished and you have to wait for the botox to wear off. the droopiness will correct itself but it can take three or... more
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Botox and eyelid swelling

From what you describe and looking at your photo's, the number of units you had injected to the glabella region is not excessive, and you should go back to the original provider for further assessment. You're likely experiencing eyelid ptosis and this is treatable with a prescribed drop. Botox effects will wear off and without proper evaluation and information, considering surgery is not in your best interest.

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+1

Effect of botox always wears off

Please be patient and wait for 2-3 more months. Your eyelids will return to the way that they were before your injections.
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Drooping and sagging after botox injections.

If the sagging truly started to bother you after your Botox injections, you can feel good by knowing that this is only temporary. The Botox will ware off within 2-4 months. I would not let any one propose or do surgery on your eyelids or forehead until Botox has completely warn off.
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Brow Droop (Brow Ptosis) Results From Over-Treating The Frontalis Muscle

21 units of Botox to treat the glabella and forehead is not excessive…but it all depends upon how it was placed. Just to clarify -- your eyelids are not swollen. What you are experiencing is drooping of your brow from too much Botox being placed in the forehead. In fact, the most common complication following treatment of forehead lines is probably brow ptosis; the eyebrows droop and patients may feel a heavy brow or heaviness in their upper eyelids. This is a more common occurrence... more
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Droopy, Saggy, Swollen Eyelids from Botox Still Present 1 Month Post Injection- is This Permanent?

Hard to believe 21 units of BOTOX could cause upper eyelid edema??? A before photo would be very helpful. And I believe you had heavy uppers before the injections. Especially I see lateral edema or excess skin so I doubt the Botox was the problem but it made you aware of the issue by smoothing out the in between of your eyes. Maybe an in person consult might demonstrate that you might need an upper bleph. Or you can wait the 3 to 4 months for the Botox to wear off, you are already into month... more
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Botox is temporary

You do not need surgery. You just need to let the botox wear off. It should start to get better fairly quickly since its been a month or so already. You didn't even get a lot of units, but with your anatomy of heavy upper lids, you might want to stay away from botox on the forehead again since it accentuated that issue.
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The plastic surgeon is a creep for telling you that you need surgery for this!!!

What you need is a different BOTOX injector. The botox treatment you got paralyzed the frontalis muscle which is the main elevator of the forehead. That in turn caused the brows to fall, bringing with it the sub brow fold. When the botox wears off, the brows will return to their pretreatment levels and the upper eyelids will look much better. Be aware that microdroplet BOTOX is an alternate method of doing periocular BOTOX treatment that actually lifts the eye brows... more
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Droopy Eyelids.

Since the effects of botox are temporary, please do not undergo any surgery to "correct". When your botox wears off, typically 3-4 months, your eyelids will return to their usual position. If you consider Botox injectons again, please discuss this occurence with your provider. The effects your describe are often associated with too much Botox in the forehead or placed to low on the forehead. You may consider just treating the glabella region only (in between the eyes)... more
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Comments (2)

Please let me know how this came out. Did anything help? How long did this last? My eye lids look just like yours.
  • Reply
Sadly, after 35 long painful weeks - I look worse than ever. My eyelids have not returned and in addition I have huge swollen bags. The only good news is that I am suing the company that did this to me. Botox ruined my face and my life. I look very hideous and old.... at just 28. Nothing, including over 8 months of waiting has offered any relief :'(.
  • Reply

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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.

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