1 Month After 7 Units of Botox at 0.4%- Now I Have Drooping Eyelids, What To Do?

asked 10 months ago by trishamarie in Philippines
Latest answer by Ronald Shelton, MD
Question viewed 352 times
Tags: eyelids, droopy, 1 month post-op, Alphagan P

Hi, it has been a month since I had botox. However, my eyelid is still drooping and I can't raise my eyebrows! I have been using Alphagan since day 3 after botox and I only had 7 units at 0.4%. Is it normal? What can I do to move my eyebrow and raise my eyelid??

9 answers to 1 Month After 7 Units of Botox at 0.4%- Now I Have Drooping Eyelids, What To Do?

Drooping eyelids after Botox

As Dr. Weber stated, this is not a common adverse side effect with Botox or Dysport for those that are experienced in these treatments. However, this can happen even with experienced injectors. What is most important is your history with this practice and how they addressed your concerns and cared for you. If you see value in the relationship, then it may be one worth keeping.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox and eyelid droop

If you are having an eyelid droop more than five months after your botox, I doubt the Botox is still causing the issue. However, the side effect could be caused by less than optimal delivery technique, and could last up to three to four months but will go away. It is not permanent. I don't comprehend what a 0.4% dilution means. Something is not being translated correctly. If you misunderstood your doctor, see them for a better explanation. Otherwise you may need to see a ... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox Correction Fort Lauderdale

I suspect your injector had little knowledge of proper dilution. In all of my years of experience & seminars from Harvard to San Francisco I have never seen a percentage dilution. Your best hope is to find someone with a radiofrequency-based skin tightening device to pull the tissue upward.

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon

Unable to raise eyebrow after Botox injection, what can I do?

First just realize that Botox and its effects are temporary typically lasting 3-4 months, so no matter what the Brow drop is also temporary. Having said that IMHO, you should actively try and move your forehead up, squint your eyes all which will increase the muscle activity in the desired area. Increased muscle activity makes the neuromuscular junctions return more quickly after Botox has been administered.

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

Brow movement after botox

Dear Trishamarie in Philippines, My guess is that you received more than 7 units of Botox. The inability to move eyebrow is due to marked weakness of the forehead muscle [ Frontalis]. This should improve in 2-8 weeks, depending on the amount of Botox injected. The droopy eyelid [weakened levator palpebrae muscle], should improve temporarily with the Alphagan drops. However, you should regularly use them 3x/day, till the Botox effect wears off in a few weeks .

Khaled El-Hoshy, MD
Detroit Dermatologic Surgeon

www.elhoshy.com

Botox

Please wait. its hard i know, but waiting is safe and effective. we are all in a hurry but this maybe a time to sit back and let nature take its course. if you were my daughter that's what I would ask you to do.

Ayman Hakki, MD
Washington Plastic Surgeon

Your upper eyelid ptosis is likely to last another 4-6 months.

Upper eyelid ptosis in the hands of an experienced injector is rare. It is improbable that you were only injected with 7 units of BOTOX. I would stay away from this injector. When you do begin to have an effect from the alphagan, it is likely that the ptosis will resolve in 4-6 weeks.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Ptosis (eyelid droop) following Botox is uncommon, self-limited

Ptosis (eyelid droop) following Botox is uncommon, self-limited. The good news is that this will go away. The bad news is that you will have to wait for your eyelid function to recover. Ptosis does rarely happen to experienced injectors. I would not condemn your injector just because you had this complication. If they're experienced and have cared for you well in the past and you're confident in their abilities this might be a one-off complication that is upsetting to both you and... more

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

1 Month After 7 Units of Botox at 0.4%- Now I Have Drooping Eyelids, What To Do?

Do not return to this injector because the injection cause paresis of the levators of the upper eyelids. It takes a few months for the effect of the Botox to wear off.