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Can Lopidine Help if I Don't Have Eyelid Ptosis?

asked 1 year ago by Elizabeth Tucson in Tucson, Arizona
Latest answer by Otto Joseph Placik, MD
Question viewed 1,494 times
Tags: upper eyelids, female, brow

After trying a Botox brow lift I find my brows have actually lowered. Now I am trapped in the angry/sad look. I understand that eye drops can assist when ptosis occurs. What about for the brow?

12 answers to Can Lopidine Help if I Don't Have Eyelid Ptosis?

Lopidine works for eyelids and not for eyebrows.

Lopidine works for eyelids and not for eyebrows. Occasionally this is worst the first time around and eases after the first two weeks in my experience.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Lodipine for brow ptosis

Lodipine and other similar drugs are specifically for upper eyelid ptosis treatment. It will not help brow ptosis from over injection of Botox. Sometimes a small amount of Botox underneath the lateral eyebrow will help raise it a bit.

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox - lowered brows

From your photos, it looks like your brows were lowered because you were using your forehead muscles to lift them. Now that Botox has paralyzed those muscles, your brow has dropped. Unfortunately - lopidine won't help in this case. You could have your doctor try to give you a little brow lift by injecting the brow depressor muscles, otherwise you will have to wait for it to wear off. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Lopidine does not help brow ptosis.

From your picture it appears that your forehead was injected and this caused weakening of the frontalis muscle which is the primary elevator of your brow. Unfortunately, there is no reversal drug for this problem, lopidine will not help here. Time will, of course, correct the problem, usually 6-8 weeks.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon

Please send picture while animation

Botox brow lift does not tell the area of the Botox injection and it would be helpful if you send pictures while trying to raise eye brow and also while frowning. If your doctor has injected more one area than others and the imbalance can cause the lowering of the eye brow.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Iopidine affects the eyelid muscles, not the brow muscles.

Unfortunately, there is no good solution for you except for waiting until the Botox wears off. Your forehead muscles that elevate the brow must have been paralyzed more then the muscles that depress the brow resulting in a net affect of brow depression. Iopidine will open your eye more by stimulating one of the muscles that lifts the eyelid , but this will not help your droopy eyebrow.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

Eye drops using Iopidine will not help brow ptosis, only eyelid ptosis

The Iopidine stimulates contraction of the levator muscle in the upper eyelid to lift but it can't do that to the forehead muscle so unfortunately it can't help forehead droop.

Ronald Shelton, MD
Manhattan Dermatologist

Botox Browlift: Unwanted results

In a Botox browlift it is important to treat the depressors of the eyebrow (the corrugator supercilii, procerus and orbicularis oculi) so as to facilitate elevation of the brow. The one elevator of the brow is the frontalis muscle. If this muscle is overtreated in relation to the depressor muscles the brow takes on a depressed, lowered, and angry appearance. You may be able to have further treatment of the depressors to relax the appearance of an angry brow (if there is any observed... more

James M. Ridgway, MD
Seattle Facial Plastic Surgeon

Iopidine is only a fix for eyelid ptosis

You are experiencing brow ptosis from over injection of your frontalis. This is more common when the frontalis is injected in patients over 40 or who have heavy and/or lax upper lids. They need all the frontalis action they can get to keep those heavy lids off the eyes and when the frontalis is over injected, you lose all ability to raise the brows. This will last about 2 months. Avoid sleeping on your face, and avoid salt and other foods that increase water retention that will make... more

Mary Lupo, MD
New Orleans Dermatologist

Botox paralyzes; Botox in forehead does NOT lift brows.

Understanding that Botox works by paralyzing the muscles it is injected into helps you understand why your brows have dropped. Your question stated that "After trying a Botox brow lift my brows actually lowered." When Botox is injected into the forehead muscles (frontalis), these muscles lose tone and ability to actively contract, which causes the brows to droop or sag. To get the brows to elevate with Botox, you need to (carefully) inject Botox into the muscles just below the... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Sagging brows after Botox will go away after 4 months.

Hi. I am afraid you have the rare but typical complication of injecting Botox into the frontalis muscle (which raises the brows). You can get a "chemical brow lift" by injecting (and relaxing) the corrugator muscles and the outer part of the orbicularis muscles (which pull the brows down). Iopidine does not help this problem and really there is no treatment. Just try to be patient and four months will go by before you know it. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Iopidine will not help brow ptosis

Iopidine causes the contraction of a smooth muscle in the upper eyelid, called the Muller muscle, elevating the upper eyelid 1-3 mm temporarily. There is no such muscle to contract to elewsth eyebrows that have been lowered by an over-relaxation by the frontalis muscle of the forehead. Frontalis elevates the eyebrows.