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How Long Will Partial Eyelid Droop from Botox Last? (photo)

I was given Botox injections on 1/26/12. 5 days later on 1/31/12 I noticed that my left eyelid was drooping. My brows are even, only the one eyelid is drooping down close to the top of the pupil. I was prescribed Apraclonidine .5. It took a few days to start working, but now right after I use the drops my eyes almost look even, though still not 100% normal. Can anyone tell me when I may notice a permanent improvement? It's been 12 days since my injections. I'm desperate!

Doctor Answers (11)

Botox eyelid droop

+2

If the levator aponeurosis is affected by Botox being placed too close to the eyebrow in the middle of the eyebrow, it can take 12 to sixteen weeks to improve. The use of the eyedrops such as Iopidine, several times a day can help keep the eyelid up.  It should all go away in time.


Manhattan Dermatologist
5.0 out of 5 stars 32 reviews

Partial Eyelid Droop from Botox

+1
Thank you for the picture.

What you have experienced, unfortunately, is a known complication after Botox with no great remedy other than time. 

At 12 days out, the full extent of the Botox has likely been reached and your droop will not get worse.  Also be encouraged that the eye-drops don't necessarily work on everyone -- the fact that it is with you is a good thing.  Make sure your physician has discussed all the potential side effects of the drops, including adrenaline-like symptoms such as "racing" your heart, making you feel anxious, as well as being irritating to your eye and at times, painful.  If that occurs you may need to switch to something other than Apraclonidine and also try some lubricating eye drops for dryness.

The good news is that the eyelid droop is typically 100% reversible since the effect of the Botox is not permanent. Botox can last up to 4-5 months but typically the eyelid droop does not last as long (1-2 months) because a lower dose of the toxin has reached part of the eyelid-raising muscle.

Good luck.

Mark K. Markarian, MD, MSPH
Chestnut Hill Plastic Surgeon
5.0 out of 5 stars 3 reviews

Drooping eyelid after Botox

+1
A rare side effect is temporary drooping of one eyelid. This is short lived. Eyelid droop may also be corrected with a prescription eye drop (Iopidine 0.5%) that you can get from a physician. This can help alleviate the droop within a few weeks to a month. You can also wait a couple of months for the effects of the Botox to wear off, at which point the droopiness will also go away.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 74 reviews

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Botox and a droopy eyelid

+1

You will notice an improvement in 3 to 6 weeks, although it may take 3 months for the effect to totally wear off.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
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Droopy eyelids after botox

+1

Typically, this would improve in 6-8 weeks. In severe cases, it may last the entire duration of the activity of botox which is 3-4 months in the average.

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
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Droopy eyelid after Botox is temporary

+1

Droopy eyelid after forehead Botox injection is a known complication but fortunately it is not common and completely reversible.  It will improve gradually and it usually takes four to six weeks before it isn't very noticable.  Some small weakness may be present for longer.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
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Eyelid drooping after Botox

+1

It is a good thing the droop responds to apraclonidine. It usually goes away in 2-3 weeks. Ask the injector to aim the needle upward next time, especially the outermost site.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
5.0 out of 5 stars 8 reviews

Eyelid droop after Botox

+1

In the majority of cases when that occurs, it takes 2-3 weeks and the effects of the Botox will decrease enough that the lid will start to get better.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.0 out of 5 stars 6 reviews

Droopy lid from Botox

+1

The good news about Botox is that it goes away in 3-4 months if you don't like it.  I have found that a problem like yours (droopy lid) usually goes away much quicker than the 3 months, usually 4-6 weeks.  You may have an underlying droopy lid that you have been compensating for or you may just have the Botox in a spot slightly off causing this problem.  The drops you are using will get you through this.  Be patient, this too shall pass.

Janet M. Neigel, MD
West Orange Oculoplastic Surgeon
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Eyelid ptosis after Botox

+1

Rest assured, this will be a temporary effect.  However, it may take 2 months or more for you to see full correction of your eyelid ptosis.  The drops will help in the meantime.  There is nothing to do to speed the recovery.  You will do great!  Just make sure that future Botox is injected well above the eyebrow to avoid a repeat episode.

Jennifer Lauren Crawford, MD
Austin Plastic Surgeon
5.0 out of 5 stars 8 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.