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Solution for One Droopy Eye and One Normal Eye?

Had Botox done 5 d ago by my IM doc. 4 injections in b/t my eyes for a minor wrinkles. I had one noticable wrinkle on the forehead but he said I had more wrinkles on the Rt. Had 4 injections on the Rt side & 1 on the Lt.

Now, my rt eyebrow has dropped causing excess skin on the Rt eye lid. I have to lift up my lid to get eyeshadow on in the morning. The Lt looks good, has an arch & moves w/o causing the forehead to wrinkle. Having headaches on Rt. I RTC on day 7. How can he correct?

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eyebrows eyes forehead droopy excess skin headache wrinkles revision

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6 Doctor Answers | Asked by Lovetobeanurse in South Carolina

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How to Fix an Improper Botox Treatment

Botox (botulinum neurotoxin type A) reduces wrinkles by the temporary and reversible paralysis of treated muscles. Within 20 to 90 minutes after it is injected, botulinum neurotoxin type A can be detected inside the motor nerve endings. Therefore the muscles and nerve endings take up the Botox very quickly. After that time period, there is no way to reverse the reaction other than letting it "wear off" over three to six months. Returning to the doctor to have more Botox injections... more

Botox Treats Motion

Unfortunately your doctor didn't understand how Botox works. Botox can not be adjusted as he did because Botox is fundamentally treating muscle movement; it only indirectly treats wrinkles. If your muscles in your forward moved symmetrically before your treatment, you have to treat them symmetrically, it doesn't matter what the wrinkles look like. So by putting more on the right side, it is now weaker than the left and you are thus asymmetric. Furthermore,... more

This person does not know what they are doing.

BOTOX can drop the eyebrow and the eyelid. However, experienced injector have very few of these types of problems. This is because very quickly they figure out how to place BOTOX so that this type of problem does not occur. As you can imagine doing this to a lot of patients will kill your BOTOX practice and your enthusiasm for doing BOTOX. What you should do very much depends on what is going on. Please do not "double down" with the person who did... more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

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Droopy eye with Botox

Unfortunately I am seeing many patients come into my office who have been injected elsewhere with Botox and are suffering from a droopy eyelid and/or droopy brow. This typically occurs when an inexperienced injector places too much Botox / Xeomin /Dysport or places it too low or asymmetrically within the forehead. I would not recommend correction with more Botox in your instance, rather, allow 3-4 months to resolve the current effects and find an experienced injector so that... more

Asymmetry of the forehead and botox

What you're describing is quite common. You may have had more lines on the right forehead because the skin of the upper right eyelid has started to sag and come down more than the other side, and your forehead is contracting even when you're relaxed, to lift up the eyelid. When Botox is injected, the forehead relaxes and looks smoother, but the eyelid skin suffers. The upper eyelid skin now hangs lower than before because the forehead isn't contracting to lift it up.... more

Droopy eye after Botox

Often, patients have active forehead muscles because they have a unilateral or bilateral ptosis- a droopy lid due to weakening of the muscle that opens the lid. Raising the forehead with the frontalis muscle helps to open the eye, and also causes wrinkling of the brow. When Botox weakens the muscle, it can no longer raise the brow and the lid becomes droopy. It is also possible that some of the Botox drained into the compartment of the eye that contains the levator muscle, which opens the... more

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