The Last Two Times I Had Botox, One of my Eyelids Seemed to Sag Until the Botox Wore off? Doctor Answers, Tips
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The Last Two Times I Had Botox, One of my Eyelids Seemed to Sag Until the Botox Wore off?

Literally, one of my eyes would not open as wide as the other. At first I thought maybe I was getting older and I was just going to have a sagging eyelid for life, but then as the Botox wore off, my eye began opening fully again, so I'm thinking it had something to do with the injection. I am nervous to go back for more injections--- I don't like my wrinkly forehead, but am scared of a droopy eye again. Any suggestions for how to avoid this result?

14 Doctor Answers | Asked by bellevue2012
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When Botox can't be used for forehead lines any longer

There is a balance that is needed between treating forehead lines with Botox and maintaining enough lifting strength of those muscles to avoid dropping the forehead / eyebrows and upper eyelids. In the early thirties this is usually possible, but by the late 30s to early 40s it may not be possible to continue the same treatment. Usually only treating the most highly-positioned lines is the best change, but some patients can tolerate that. A non-surgical lifting such as with... more
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Less maybe better with botox of the forehead

The forehead is a difficult area to treat especially as we get older and the assymmetry of the face gets more visible. It is not uncommon to see drooping of the eyelids especially if the botox is being used with the only goal being decrease the forhead lines.Your goal is to look better! Talk to your doctor about this use less botox place it higher up on the forehead and use a smaller amount you can always add more!
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Botox Causing Ptosis

Injecting Botox around the eyes truly is an art, not a science, as a Dr. mentioned below. The eyes are a very unforgiving territory, as the muscles that surround them must work in conjunction to perform the movements we consider vital for looking and emoting like human beings. I recommend requesting less product next time, or finding a physician who is very comfortable with Botox around the eyes see video

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Drooping eyelids after botox

It sounds like you need less botox on one side than the other above the eyelids. This is why the injection of Botox is an art- not one recipe fits every patient. Conservative injecting the next time around with a touch up in 2 weeks would probably benefit you.
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Need less Botox on forehead above eyebrow

To reduce the chance of drooping happening again, you need less Botox on the side that droops and it needs to be placed higher on that side of your forehead. This might mean that the improvement you get doesn't last as long, but it could avoid the droop.
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Droopy Eyes After Botox

Droopy eyelids are a common side effect of Botox. These symptoms can happen hours to weeks after you receive an injection. They will go away after no more than a few weeks. Best of luck.
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Botox and drooping eyelids!

Sorry to hear you had a poor result with your Botox injection! Although this is a well-known possible side effect, it is one that, thankfully, is relatively uncommon. If this happens, it can be for many reasons, but may have resulted from improper placement of the injection site and/or diffusion of the toxin into the muscles that lift the eyelid. If you otherwise have a good relationship with your injector, I would recommend returning to them as soon as you... more
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Ptosis can be a side effect of Botox or injections may be too low

If one eyelid is heavy than it is ptosis. If both eyelids are heavy then you may have extra skin on your upper eyelids and the injections should have been fewer or placed higher in the forehead. You should seek out an experienced injector for the best results who is a board certified dermatologist see video
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Ptosis and Botox

It sounds like you have underlying eyelid ptosis (droopiness). Your body automatically sends signal to your forehead muscle to help lift that droopy eyelid. When Botox is injected in the forehead, that weaks that muscle, which thereby allows the eyelid to droop again. Without looking at your photo, your options are either not getting Botox in the forehead or consider droopy eyelid (ptosis) evaluation by oculoplastic surgeon.
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Brow droop vs. lid droop

Both brow and lid droop can occur with Botox injections. There is some asymmetry in all our faces and it is important to document and discuss this prior to Botox injections. In particular, if the entire forehead muscle is overtreated with Botox, the whole frontalis muscle relaxes and the brows can come down, particularly when the brows are 'lax' to begin with. Stand in front of the mirror and push one brow down toward your cheeks to see how lax it is, then pull it upward... more
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Droopy eyelids and Botox

Some people have ptosis, which is naturally droopy or hooded eyelids. And this can be exacerbated by Botox. Or, because Botox affects other muscles around the normally-occurring ptosis, the natural ptosis looks worse to the patient. The other option is that your muscle width and structure is just a bit different than others and your injector needs to inject differently - a bit higher - than what would be done on other people. It's important to look at your pre-pictures before you started... more
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Droopy Eyes and Botox

A drooping eyelid can be the result of botox. This is seen occasionally, and is more common with forehead injection. There are two types of eyelid drooping seen after Botox injections: Drooping of the eyelid itself. Quite rare and is made more likely by larger volumes, lower placement and poor patient or injector selection. It is technique dependent and is less common with experienced injectors, but it can happen to anyone. It usually shows up a week or two after the injections and often... more
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Botox

A droopy eyelid is a well known but uncommon side effect from Botox. For you to have had it twice suggests you need a different injector. It is a side effect which is completely preventable by adjusting the dose and location of the injections. Having said that, there are some people who, for a variety of reasons are not good candidates for Botox and I obviously wouldn't be able to comment on that in your case without seeing you. A lot of the complications however, can... more
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Botox and droopy eyelid

It is very difficult to answer your question without seeing you in person, but based on your description you should have had your provider evaluate you when you first started noticing the issue with your eyelid. Proper injection technique would have decreased your chances of this occurring. Be sure you are having a well-trained and experineced Botox injector address your needs.
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