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I Have the Drooping Eyelids After Botox and my Doctor Prescribed a Medrol Doe Pack- Is This a Good Choice?

asked 7 months ago by cheryl lynne
Latest answer by Ronald Shelton, MD
Question viewed 399 times
Tags: droopy eye, prescription, second opinion, wear off

I went back to him and he acted like he has never seen this before. Now I am afraid to take amything he has prescribed because he obviously should have known about droopy and puffy eyelids after botox. This is a side effect and he said nothing about it. Should I see my eye doctor to get the drops or a regular doctor or go back to him and mention these eye drops I hear everyone talking about, or am I better off waiting till it wears off?

13 answers to I Have the Drooping Eyelids After Botox and my Doctor Prescribed a Medrol Doe Pack- Is This a Good Choice?

What to do for Droopy Eyelids after Botox.

Hi Cheryl. The panel has about as much confidence in your MD as you do. Obviously he's missing something and does not seem very experienced with Botox injections (which would explain why he dropped your brow and eyelids). Ptosis is a heaviness of the eyelid and/or eyebrow. Lopidine can help with the eyelids, but there will be a few weeks at least until things are back to normal. At worst the ptosis can be present for 2-3 months. The disturbing issue is... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

No medrol dose pack

Are you noticing drooping and puffiness of both eyelids? Another possibility is that your forehead muscle was over treated. If you have low brows and/or excess upper eyelid skin and you use that forehead muscle to help keep your eyes "open," the result of inactivating that muscle with Botox can result in heavy upper lids. Without a photo, it is hard to know. I also concur that you should seek a second opinion from a board certified plastic surgeon ,... more

Danielle DeLuca-Pytell, MD
New York Plastic Surgeon

I am afraid your doctor is an idiot.

The Medrol dose pack will be a complete waste of money. It has absolutely no role in treating upper eyelid ptosis after BOTOX. The eye drop that can help is Iopodine or Aproclonidine ophthalmic drops. I recommend a one week trial of these drops. If the eyelid positions improve on the drop, it suggests that the ptosis will resolve within a 6-8 week period. If the eyelid position does not improve at all during this week of trial, then is suggests the paralysis of... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Droopy and puffy eyelids after Botox

Without knowing your exact condition, nor examining you in -person and not knowing your history, no doctor can comment via the internet on your treatment with precision. In general, the chance of developing an allergic reaction to Botox is extremely rare and not seen by most doctors. If there is a swelling reaction, in which fluids are retained, then an antiinflammatory agent such as a medrol dose pack of corticosteroids may help reduce this faster than antihistamines, but there... more

Ronald Shelton, MD
Manhattan Dermatologist

Droopy eyelid treatment following Botox

Droopy eyelids following Botox treatment are often due to overtreatment of the frontalis, your forehead muscle. This muscle is responsible for keeping your brow (and upper eyelid) in proper position. If it is truly eyelid droopiness, prescription eyedrops (aproclonidine) can be prescribed. In my experience, oral steroids would not be first line treatment for your concern.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon

Treatment of Droopy Eyelids After Botox Is Lopidine Not Steroids

Droopy eyelids are the result of injecting Botox too close to the eyebrows, resulting in diffusion of the drug down into the upepr eyelids. You now have weakness of the levator muscle of the upper eyelids resulting in ptosis. This is a well known potential risk of Botox when placed into the forehead. Steroids of any form will not change this adverse result. Certain types of eye drops if used immediately can be effective for improving the ptosis. This problem will be... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Drooping lids after botulinum toxin

Without a picture, it is hard to know for sure, but there are two possible problems here: 1. Edema (swelling of the upper lids) is uncommon after botulinum toxin injections. This is certainly not expected after a routine injection, but this problem would occur within a few hours of the injection, and probably will resolve within 3 days or so. Steroids (Medrol dose pack) might help, but this problem, but it is generally mild and short lived and will resolve on its own.... more

Michael Bowman, MD
Montgomery Facial Plastic Surgeon

Drooping Eyelids after Botox

If you have eyelid swelling the Medrol Dose-Pak will help. If you have drooping of the lids, Iopidine may help. If you don't have confidence in the physician who injected the Botox, I recommend you consult with your ophthalmologist or an oculoplastic surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Medrol dose pack will not help

There is only one muscle that lifts the brow and when injectors inject botox too close to the brow, a slight depression of the brow is seen. This is one type of eyelid droop. This is more accentuated for patients who are 'natural brow elevators'. How do you know you are a 'natural brow elevator'? If you have many horizontal lines on your forehead, you need to be cautious about where and how much botox you are using on your forehead. The second type of eyelid droop... more

Kyle S. Choe, MD
Virginia Beach Facial Plastic Surgeon

I Have the Drooping Eyelids After Botox and my Doctor Prescribed a Medrol Doe Pack- Is This a Good Choice?

Any or all of the above. Medrol is an anti-inflammatory steroid that's used to prevent or decrease post operative/procedural swelling. If the droopy eyelid is due to Botox relaxing the eyebrows, this will have no effect. Any needle based treatment can create bruising and swelling but this is temporary.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Consider seeing another physician

I agree with Dr. Steinsapir's approach to this. And would also agree that Medrol Dose Packs are not for drooping eyelids - that is for infections and/or swelling. If your eyelid is drooping, you will need to try the Rx drops or just wait for the Botox to wear off. It's an unfortunate situation and I'm sorry you are experiencing it, but Medrol Dose Packs aren't going to do a thing for the drooping eyelids.

F. Victor Rueckl, MD
Las Vegas Dermatologist

www.lakesdermatology.com

Medrol dose pack for droopy eyelid

Medrol dose packs or steroids may help with some of the swellling if that's what you have, but it will not do anything for your sagging brows. You'll have to wait 4-6 months for that to improve.

Steven Wallach, MD
Manhattan Plastic Surgeon

Droopy eyelids from Botox and Medrol Dose pack

I am unaware of any indication for treating Botox induced droopy eyelids with steroids unless your physician suspects an inflammatory cause to what is going on. A second opinion would probably be a good idea! If the droopiness is not too bad just wait for the Botox to wear off.