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How Long Does Eyelid Droop After Botox Last?

asked 2 years ago by helpnjgirl in NJ
Latest answer by Otto Joseph Placik, MD
Question viewed 2,158 times
had botox treatment and 3rd day after noticed right eyelid droop. Droop has become progressively worse now 1 wk post and using lipodine drops without much improvement. MD is certified and has done procedure many years without this outcome. Had botox in the past twice no side effects. How long does this eyelid droop last and is there any other treatment that may help? thanks in advance for any answers or suggestions

19 answers to How Long Does Eyelid Droop After Botox Last?

+1

Botulinum Toxin (Dysport or Botox) and eyelid droop or blepahroptosis

The effects of Botulinum Toxin (Dysport or Botox) on the eyelid muscles causing droop (blepharotposs) can last several months. Occasionally the most dramatic effects are druing the first 2 weeks.Other than Lopidine another product is Alphagan (brimonidine tartrate 0.2%) 
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Will Likely Wear Off Before Botox Does

Botox has very few side effects; however, one of the most troubling to patients is when an eyelid droops. This side effect is rare and happens less than 1% of the time. The drooping eyelid syndrome is not permanent. It will most likely wear off before the Botox does. If eyelid drooping starts three to four days after the injection, it will most likely last three to six weeks. If the drooping begins four to six days after the injection, it should go away faster. In the time it takes to wear... more
Sanusi Umar, MD

Redondo Beach Dermatologic Surgeon
+1

The “eyelid droop” usually goes away within the first 1-2 months

The “eyelid droop” usually goes away within the first 1-2 months. BOTOX can last up to 3-4 months and sometimes the “eyelid droop” won’t go away until then as well. But usually, the side effects resolve before the results go away which is within 1-2 months.
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon
+1

About 2 to 3 months

I have only seen this rare side effect once. It happened on a very elderly woman with very thing skin and muscles. It resolved in about 2 months. Some patients may notice some brow drop with Botox but this is a normal result of the treatment weakening the forehead muscles. It sounds like you are already using drops to give you temporary relief. Good luck and it will get better.
Ivan Wayne, MD

Oklahoma City Facial Plastic Surgeon
+1

It really depends on the amount that leeched into your eyelid muscle...

Eyelid droop after Botox injections is indeed rare, but can happen if the Botox spreads from the site of injection into the levator muscle of your eyelid. The important thing to remember is that it will get better. This usually improves over about a month's time, but should definitely be better at four months when the Botox effect wears off. Be patient.
Kevin Brenner, MD

Los Angeles Plastic Surgeon
+1

Eyelid Droop after BOTOX

Eyelid droop after BOTOX should last about three to four months.  I believe to some degree, everyone getting BOTOX above the brows will experience this but in most cases it is subtle enought that it is worth the tradeoff. 
Barry Stuart Handler, MD

San Diego Plastic Surgeon
+1

Usually 1-2 months

Unfortunately, this happens when some of the medication diffuses to the upper lids and relaxes the muscles that raise the upper lid. The eyedrops may help, usually self-limited 1-2 months. Good Luck.
J. Vicente P. Poblete, MD

Cleveland Plastic Surgeon
+1

Eyelid Droop botox

Unfortunately if you developed ptosis of yoru eyelid this will likely last several months. The eye drops sholud help with the droop.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Botox and Eyelid Droop

Unfortunately, eyelid droop (ptosis) after Botox can occur even in the most experienced of hands although it is rare.  As other posters have noted, it generally resolves before the aesthetic benefit of Botox wears off; this can take up to 2 months.  In my personal experience, the highest incidence of ptosis occurs when treating the lower lateral forehead or "Mephisto" lines.  Iopidine drops can alleviate the eyelid droop for social functions (not appropriate if a... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Upper Eyelid Droop After Botox

Ptosis, a droopy upper eyelid, is uncommon and may occur with anyone after any neuromodulator treatment  around the eyes, such as Botox Cosmetic. Ptosis is temporary and resolves once the Botox effect is gone, usually within a couple months. This temporary eyelid ptosis is treated with eye drops. Speak to your cosmetic specialist for an evaluation.
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Eyelid droop after botox

There is a difference if the eyelid is drooping because the levator which helps hold the eyelid up is affected, or if the forehead has lost its ability to elevate and you usually utilize your forehead muscle to help keep a sagging eyelid up. It could take up to 12 weeks to see significant improvement but this will not be permanent if it was caused by the botox.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Eyelid droop after Botox last.

This can occur to anyone, both patient and injector. The longevity is from a few weeks to 2 months. You are using the drops and following your injector's advise. Best of luck from MIAMI DR. B
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Eyelid droop with Botox may last for 2-6 weeks

Eyelid droop after Botox is due to the product affecting the muscles that keep the eyelids elevated.  The product was either placed in or spread to an unwanted location.  How long it lasts depends on the amount placed and where it was placed.   I've only seen one case from another doctor in 6 years of practice. From speaking with my colleagues, most patients who experience eyelid droop have it last for 2-3 weeks, but it can sometimes go as long as 6. Unfortunately... more
Chad L. Prather, MD

Baton Rouge Dermatologist
+1

It usually lasts a month.

Eyelid ptosis is a rare, but reported, adverse event that can occur from the injection of the glabellar complex to improve unwanted frown lines. It is in the informed consent and although it is rare, it is always very upsetting to the patient. I am surprised the Iopidine drops have not helped at all. Patients usually do get 2-3 hours of relief. Perhaps OTC Naphcon drops may help, but it will affect the size of the pupil. The good news is it will not be permanent.
Mary Lupo, MD

New Orleans Dermatologist
+1

Eyelid droop after botox

Eyelid droop after botox is temporary and typically lasts from two to three weeks. I have found naphcon a eyedrops to be the most effective temporary improvement and you can get those over the counter. I would suggest using it when you are out and about and the drops help for about 4 hours at a time. I hope this information helps.
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+1

Eyelid droop after botox

There are two time frames that might apply.  One is short, maybe two or three weeks.  That is more of a brow droop than a true eyelid droop, and the botox of the forehead/glabella just weakened things enough that the brow droops more on one side.  In two or three weeks the muscles compensate and things begin to improve. If it's truly eyelid ptosis, than you are experiencing something described in about 2% of cases.  Again, it's possible to improve a little in... more
Kevin Robertson, MD

Madison Facial Plastic Surgeon

www.robertsonplasticsurgery.com

+1

Eyelid droop after Botox

This problem should be rare.  Its main causes are inadvertent injection into the eye lifting muscle or aggressive Botox in the forehead.  Botox will do exactly what the injector tells it to, so a knowledge of anatomy is critical. If the Botox was a direct hit, about 3 months need to pass for the undesired effects to vanish.  For a watershed problem, typically 3 weeks.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+1

Eyelid droop or ptosis

This side effect is reported approximately 4 percent of the time. It always resolves spontaneously. Eyedrops help as does massage of upper eyelid. The duration of the droop is variable from 2 weeks on the short end to 8 weeks on the long end.
Steven Hacker, MD

West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

+1

Eyelid Droop After Botox; How Long Does it Last

Hi, Sorry to hear about your adverse event with Botox.  Unfortunately, other than the eye drops that you are using, there is no treatment to expedite the effects.  It usually takes a few weeks for the eyelid to come back.  The time varies depending on the individual and how many units of Botox have gotten into the muscle.   Many actors and actresses in Hollywood wear their "bangs" over the affected eye.  Good luck and I hope that your eyelid... more
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

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