Ask a doctor

What Are the Effects of Botox on the Upper Eyelids?

When Botox is administered for crow’s feet, what effect does it have on the upper eyelids?

Does it lift the upper eyelids and make the skin less saggy, or does it have the opposite effect and create baggier upper eyelids? How long do the effects of Botox around the eyes last?

Doctor Answers 13

Botox can raise upper eyelids when properly done

When Botox is administered to the crow’s feet and in the lateral brow area, it will elevate the lateral 1/3 of the brow 1-2 mm. If Botox is injected in the medial aspect or head of the eye brow region, then a more uniform elevation of the brow is observed with the entire brow rising up 1-2 mm. The duration of Botox is typically 3-4 months.

If more eyelid elevation is desired, then an upper eyelid tuck (blepharoplaasty) may be required. If too much Botox is injected in the forehead region, then the opposite effect may occur with drooping of the brows. For your best results and safest outcomes, see a physician experienced in both facial aesthetics and Botox injections. I hope this helps!

Englewood Plastic Surgeon

75 S. Madison St.
Denver, CO 80209

Effect of Botox on the eyelid

Injection of Botox to the crows feet typically does not affect the eyelid, but can raise the lateral (outer portion) of the eyebrow 1-3 mm. For lid laxity, a blepharoplasty +/- brow lift is the most definitive procedure. Some contraction of upper eyelid skin can, however, occur with a regional phenol chemical peel.

Crows feet injections with Botox should not make the eyelid sag (unless injections are inappropriately close to the upper eyelid). The effects last 3-4 months in most individuals.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

10672 Wexford Street
San Diego, CA 92131

Botox on crow's feet

Depending upon how it was injected, it can lift the lateral brow a bit once it takes effect about a week after injection.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Eye Rejuvenation with Botox

There is definitely an art and technique to using Botox or Dysport to the eye muscles to soften fine lines but also creating a more refreshed appearance by lifting the brow, which in turn, will have a subtle effect on the upper lid. Of course, in some situations, a patient may be a better candidate for surgical intervention with blepharoplasty if there is much extra skin or laxity.

We encourage our patients to consider proper dosing of Botox around the sides of the eyes as well at key points to the lateral (outside edge) of the eyebrows to provide a sublte lift. By dosing the muscles responsible for frowining as well, we are able to achieve a nice, subtle lifting effect to the medial (inner) brows.

We have captured this effect in the link below.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

23211 Hawthorne Blvd.
Torrance, CA 90505

Botox can raise the eyebrows

When Botox Cosmetic is injected for crow's feet, it can help raise the lateral brow, which stretches out the skin of the upper eyelid. You do not want the Botox injected into the eyelid itself, since this will lead to ptosis or drooping of the eyelid.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 64 reviews

10 East 53rd Street
New York, NY 10022

Botox can have indirect effect on upper eyelid

Botox could have an indirect effect on the upper eye lid;

1. If the Botox diffuses to the orbicularis muscle,the upper eye lid could be sagging.

2. If the Botox is injected just below the brow it will raise the outer brow which will help with some extra skin in the upper eye lid.

Hope that helps!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 17 reviews

20301 SW Birch St
Newport Beach, CA 92660

No Effect On the Eyelids, Only On The Brows

If Botox is injected just under the lateral brow it can raise the brow slightly by inhibiting the muscle that closes the eye. This muscle opposes the brow muscle.

The only effect on the lid is usually a detrimental effect when Botox gets into the lid elevator causing a lid droop.

Unfortunately, you made need a blepharoplasty.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
5.0 out of 5 stars 23 reviews

3930 Pender Drive
Fairfax, VA 22030

Crow's feet Botox injection should not affect upper eyelids

When Botox is injected specifically into the crow's feet, you should not see much, if any effect on the eyelids. When the Botox takes effect, you should see softening of the wrinkles on the sides of your eye. To lift your upper eyelids and decrease sagging of eyelid skin, Botox is usually injected in the lateral region of the brow, not the crow's feet area. The effect of Botox in the eyelid and crow's feet area typically lasts 3 to 4 months. Hope this answers your question.

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

6850 35th Ave NE
Seattle, WA 98115

Botox on Crows Feet and Upper Eyelid


Great question. The art of injecting Botox in the Crow's Feet area is - placing the right amounts in the right places! The injector must understand the anatomy of the Obicularis muscle which surrounds the eye and when it contracts the eyelid skin bunches up. Botox relaxes this muscle which smoothes out the Crows Feet and if placed properly will allow the eyebrows to elevate slightly - tightening the upper eyelid skin. Of course, if you have a lot of loose skin, Botox is not a replacement a standard blepharoplasty.

Now if the Botox is injected into the wrong muscles in the wrong amounts, then you can have drooping skin or eyelids. This is why it is so important to seek consultation with a Board Certified Plastic Surgeon.

Daniel Reichner, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 9 reviews

3101 W Coast Hwy
Newport Beach, CA 92663

Botox treatment to the crows feet can affect the upper eyelid

Dear Canada,

Depending how the BOTOX treatment was performed, treatment of the crows feet can affect the upper eyelids. The incidence of upper eyelid droop, which is an unwanted side effect of the treatment, occured in a small but not zero percentage of treated patients described in the initial studies looking at how to create a forehead lift effect with BOTOX.This includes the studies by Frankel and Chen (Alterning brow contour with botulinum toxin, Facial Plast Surg Clin North Am, 2003;11:457) as well as Huilgol and the Carruthers (Raising eyebrows with botulinum toxin, Derm Surg 1999, 25:373).

This led these authors to significantly restrict how close to the orbital rim they recommended treatment to avoid drift of the BOTOX into the eyelid where it causes drooping of the upper eyelid.

It is possible to get significant brow elevation by treating at the level of the eyebrow by controlling the depth and volume of the BOTOX injections and this is the basis for Microdroplet BOTOX forehead lift. How long the drooping upper eyelid lasts varies.

I studied seven patients referred for management after developing drooping of the upper eyelid. These patients were chosen for study because their droopy upper eyelid after BOTOX lasted 7 weeks or more and in one case took a full year to resolve. This study suggests that if you respond to Iopodine, a drop that stimulates the Mueller muscle in the upper eyelid and is used to help lid droop after BOTOX, then it is likely that the heaviness will wear off in 4 to 6 weeks.

On the other hand, if you don't respond to the drops initially, it is likely that your upper eyelid droop following BOTOX could last 3 to 6 months and rarely longer.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.5 out of 5 stars 21 reviews

9001 Wilshire Blvd
Beverly Hills, CA 90211

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.