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Botox Caused Ptosis. Is It Permanent?

asked 1 year ago by Dayton9423 in Dayton, Oh
Latest answer by Srdjan Ostric, MD
Question viewed 1,077 times
Tags: ptosis, permanent

i had botox for crows feet, above brows and between brows 4/15/10. ptosis developed in rt lid 4/24/10. by the end of the summer, august, it looked pretty good. it has not completely resolved. my lid is still lower on that iris and the shape of my eye still looks different.have i had permanent damage? will exercising the lid help? desperate

18 answers to Botox Caused Ptosis. Is It Permanent?

Botox ptosis of the eyelid is never permanent.

Botox can cause a temporary ptosis of the eyelids which resolves over 2-4 weeks usually. Botox affect should be totally gone by 6 months. Anything after that is not due to the botox.

David Hansen, MD
Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

Did Botox Cause Sagging to My Eyelid?

Hi Dayton. Although Botox can cause eyelid droop over the short term - for several months after injections - it would not cause any permanent damage. Your facial structure would return exactly to the state that it had been before. We have had patients mention these same kinds of concerns before and when we show them the before pictures, we are able to confirm the issue before the treatments. Hopefully your injector took before and after pictures for you and you can go... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Ptosis after Botox Treatment. How to manage it ?

Hello and thank you for the question. The effects of Botox are not permanent. In general you can expect results lasting anywhere from 6 weeks to 6 months. Regarding the eyelid ptosis, while this is a rare event following Botox treatment, it is well documented. I suggest following up with your clinician and inquire to see if you are a candidate for iopidine drops. This treatment works quite well and will typically raise your affected lid one to 3 millimeters to give you better... more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

Botox, ptosis, and permanency

The answer is simple: No. But it does take a while for it to come back (the eyelid function), and that can be distressing. I have not had ptosis as a complication, luckily, so although I know about lopidine, I have not used it, and can not attest to the quality of its reversal.

Srdjan Ostric, MD
Chicago Plastic Surgeon

Ptosis is usually a result of poor injection technique

It is not permanent and can be treated by using a drop called Iopidine. It is usually caused by the doctor injecting too low on the lateral injectons over the brow. I have never seen it last 6 months in my own patients.In the study for FDA approval I developed the injections sites to avoid ptosis. Please review These sites. Also if a doctor dilutes the vial with 5cc or more this can cause ptous

Arnold W. Klein, MD
Beverly Hills Dermatologic Surgeon

Botox Not Permanent

Botox is not permanent. Don't worry, the effects of your botox treatment should go away around 4 to 6 months.

C. Bob Basu, MD
Houston Plastic Surgeon

Botox and longevity of effects on upper eyelid ptosis.

The effects of botox should not be permanent and your eye should essentially reuturn to its baseline by 6 months.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Droopy eyelid after Botox, Dysport, or other neuromuscular blockers

Permanent weakness of facial muscles may be seen with any prolonged neuromuscular block over time. This is how we intentionally induce muscular atrophy of specific expressive muscles to clear unwanted lines. Atrophy will begin to show up if any muscle is not stimulated or innervated after 6 months or more. The persistence of ptosis or droopy eyelids is extremely unusual as the levator muscle of the eye is not an intended target, but can be... more

Randy Wong, MD
Honolulu Plastic Surgeon

Droopy Eyelid after Botox Cosmetic or Dysport

Hi Dayton9423 in Dayton, Oh, Ptosis, a droopy upper eyelid, is uncommon and may occur with anyone after any neuromodulator treatment around the eyes, such as Botox Cosmetic or Dysport. Ptosis is temporary and resolves once the Botox effect is gone, usually within a couple months. This temporary eyelid ptosis is usually treated with eye drops to help stimulate other muscles to lift the eyelid. Massage or facial exercises don't help to improve ptosis. Also, one should not be... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Prolonged eyelid ptosis after Botox

Botox should not last longer than at most 6 months. I am not sure why you are having this problem. I would recommend that you visit with your plasatic surgeon, and perhaps a neurologist. You may have some other neurological, immune, or metabolic problem that could be the real issue here. Additionally, they may be able to give you exercise recommendations that could help.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Botox, ptosis

It is very unlikely to have permanent ptosis after botox.The surgeon needs to review your photos before botox treatment.

Sanjay Parashar, MD
Dubai Plastic Surgeon

Botox caused Ptosis. Is it permanent?

Serial photos would be helpful. If you see a little improvement every 2 or 3 months, that would be an encouraging sign. If no improvement occurs at any stage, even after 6 months, I would startslowly looking into a procedure by an oculoplastic surgeon while still waiting a few months. Eugene Mandrea. Dermatologist Chicago

Eugene Mandrea, MD
Chicago Dermatologist

Lid ptosis lasting more than several months is not likely due to BOTO®

There are many causes for lid ptosis other than BOTOX®. For example, I have seen one patient who developed unilateral lid ptosis about a week after treatment with BOTOX® for glabellar frown lines [between the eyebrows]. Her lid ptosis persisted for several months, at which point she was referred to an ophthalmologist to rule out dehiscence of the levator [separation of the muscle which lifts the eyelid from the point where the muscle attaches near the lid margin]. This was the... more

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

Boyox should not cause permanent ptosis

Botox injections are not known to cause permanent ptosis. Is there a chance the slight residual droop was there before the botox droop?

Ronald Shelton, MD
Manhattan Dermatologist

Should go away unless you had eyelid drooping to begin with.

Dear Dayton Upper eyelid ptosis after BOTOX is a well reported complication. WIth experience injectors, it is likely to occur in less than 1% of patients. The literature suggests that the ptosis only last a few weeks and responds to a eye drop called iopidine. This drop stimulates a muscle in the eyelid and can help open the eye until the muscle fully recovers. I have seen a series of patients referred to me who had upper eyelid ptosis that lasted much longer than... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox Caused Ptosis. Is It Permanent?

It is possible the Botox revealed an underlying ptosis of that eyelid. seek evaluation from a plastic or oculo plastic ASAP. You may need a minor operation. From MIAMI Dr. Darryl J. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Eyelid ptosis and Botox

Botox can cause a temporary eye lid ptosis that usually gets better on its own within a few months. If you still have it after that time, it would be very unusual.

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox wears off in 3 months

I would ask you to look carefully at pictures of your eyes taken before the Botox. I suspect you may have had some mild asymmetry that you didn't notice before. I have injected Botox as an oculoplastic specialist since 1990, and have never seen any permanent damage.