More Botox for Sagging Eyelids from Prior Treatment? Doctor Answers, Tips
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More Botox for Sagging Eyelids from Prior Treatment?

I had Botox done on my forehead, between my eyes, and on my crow's feet (side of eyes). I noticed that the injections for crows feet flattened the side of my eyes, pushing my eyelid skin to the center of my eyes, making them appear heavy with skin. I was thinking of getting more Botox to open my eyes back up. Any advice?

10 Doctor Answers | Asked by Poetrygirl in Michigan
+2

Don't Do It

What you're describing sounds like Botox may not be the best for you. Patients that have excess skin of the upper lids and descent of the brows will run into problems when injected with Botox. Botox can worsen these problems and certainly will not improve your situation now. My suspicion is that you may be in need of a brow lift and/or upper lid blepharoplasty. See your board certified plastic surgeon to be evaluated.
+2

Botox does not tighten skin

It sounds as if you may be using Botox to treat problems that may be better suited to surgical correction. If that is the problem, this may be as good as it gets. If you have excess skin, there is lttle that can be done to truly shrink it other than to remove it by surgery. Allow the Botox to wear off and obtain consults from 2 or 3 surgeons and proceed based on what seems to be the most sound advice. IF you continue to use Botox as an alternative to surgery, be aware that it will relax... more
+2

90% of the questions I answer deal with Botox complications and misplaced breast implants.

To Poetrygirl, Hi. Maybe there is a lesson here. A popular question is How much does Botox cost, without realizing that this is an invasive procedure, that can be legally performed by anyone with an MD degree (and in some states, by anyone with a RN degree). Many of these people are not properly trained. Of course, I don't know who treated you, or exactly what happened. But here is my advice. Do nothing for 4 months. Then go to a board certified plastic surgeon, and ask her or him what... more

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+2

Botox is not your answer... maybe surgery for your sagging eyelids

It sounds as though you have laxity of eyelid skin that needs to be addressed with a blepharoplasty. Patients who have wrinkles on the sides of the eyes (crows feet) typically have a very good response to Botox. However, if you already have sagging excess skin under your eyelids, then this can be a problem for some patients. The reason is because when you look at yourself in the mirror, you are not drawn toward the smooth areas on the sides of the eye, but rather will focus on the... more
+2

Sagging lids from Botox

I agree with the other responders. Additional botox is unlikely to give you a satisfactory result at this time. It is likely that within 3 months, you will notice improvement in the sagging appearance (hopefully sooner). Of course we cannot tell with certainty what you may benefit from based on your posting, but perhaps you would benefit from a brow lift +/- upper lid blepharoplasty. I would notify your treating physician of your concern to decrease the likelihood of this happening to... more
+2

Botox Causing Sagging of Upper Eyelid Skin

Hi Poetry Girl, The elevating muscles of your forehead have been weakened by the Botox treatment, making your brows heavy and creating the appearance of more skin on your upper lids. Unfortunately there is not much to be done other than to wait for those muscles to recover. In some patients it may be a few weeks. Please let your injecting physician know so that it can be noted on your chart, and hopefully avoided in the future. I hope that your eye lids improve quickly. Be well. Dr. P... more
+1

Botox for Heavy Eyelids?

You've gotten some great feedback from the panel, albeit somewhat varied.  There could be a number of things going on. You may need surgery if you have too much excess skin as some panel members have mentioned. You may have some sagginess or heaviness in the lids caused by the previous Botox injections and this situation will work itself out over the next few months if that is what is happening. It may also be that you would benefit from a Botox browlift as Dr.... more
+1

Botox has its limitations...

I am a huge Botox fan, but the one area in which it will disappoint is in patients with lax skin on the eyelids. Botox relaxes muscle movement, and if the skin is loose and doesn't move as much, it might lose even more of its spring. More Botox is likely not the answer. Fractional CO2 laser likely would help as would surgical eye lift. www.drmarylupo.com
+1

Please dont do this.

Dear Poetrygirl Clearly you are having an issue with your recent BOTOX treatment. Somethings can be fixed or adjusted with a tiny bit more of BOTOX but not very many things and not the problem you are having. I don't doubt that you might be able to talk your doctor into this but I can't recommend it. You are going to need to wait for the BOTOX treatment to wear off for this problem to resolve. This could take a few weeks or a few months depending on exactly how much BOTOX was used... more
+1

Botox Brow Lift can open up tired-looking eyes

Not all injectors have the experience to create a brow lift using Botox. That said, not everyone can achieve a lift from Botox. There are muscles that surround the eyes that pull the brow down and their are muscles that lift the brow. The art is placing sufficient Botox into the muscles pulling the brow down that these muscles become relaxed so that the lifting muscles will raise the brow and lift the eyelids. If too much Botox is given in the muscles that lift the brow the pendulum swings... more
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