Using Alphagan for droopy eye from Botox

Would it be okay to use Alphagan P 0.1% to treat a droopy eye cause by Botox even though I don't suffer from glaucoma and neither require medication for lowering the eye pressure? I am concerned about the fact that I am using a medication that is primarily used to treat a condition that I do not suffer from. This is my 3rd week post-Botox and I still have droopy eye. Thanks again for your kind reply. 

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7 answers to “Using Alphagan for droopy eye from Botox”

A: Droopy eye from Botox will last 3 months.

George J. Beraka, MD

Hi. Alphagan is safe to use temporarily to partially improve droopy eye caused by bad Botox technique.  If it helps, use it.  Ultimately, you have to wait for the Botox to wear off.

A: Stop if Alphagan isn't working

Otto Joseph Placik, MD

Alphagan is an accepted remedy for blepharoptosis caused by unexpected Botox infiltration into the levator muscles. Alphagan works by stimulating a second set of muscles called Muller's muscle which causes lifting of the eyelid muscle. If it works then I would continue to use it. However, if it doesn't work,... more

A: Yes, it is safe

Sirish Maddali, MD

Alphagan and Iopidine are commonly used to correct a "droopy" eyelid after Botox. It is actually quite safe and as pointed out by Dr. Shafer, the only contraindication is use of a monoamine oxidase inhibitor. The "droopy" eyelid usually lasts somewhere between 3-5 weeks on average. The effect of the Botox on... more

A: Treating an eyelid drop after botox

Richard W. Westreich, MD

Botox given around the eye area has a potential to affect the muscle that opens the upper eyelid. This causes a drooping of the eyelid, which can be very concerning to patients. This happens rarely (less than 1% of the time). Experimental evidence has shown that botox can diffuse from an injection site... more

A: Yes it is okay to use Alphagan drops after Botox

David Shafer, MD

A drooping eyelid after Botox is a known, but very rare, temporary complication of Botox. This complication, however, must also be distinguished from drooping of the eyebrow, which causes a "fullness" in the upper lids - this is much more common than an actual ptosis (drooping) of the eyelid. For... more

A: Ptosis and the Droopy Eyelid

Shepherd Pryor, MD

Hi, A droopy eyelid is a rare experience in Botox injection but can happen based on the location of the injection and the experience of the injector.  I have not heard of Alphagan P but Ipratropium eye drops are indicated for the short term treatment of ptosis or a droopy eyelid.  I have not seen a... more

A: Watch Out If Your Botox Injector Sells Designer Eye Patches in the Waiting Room

Michael A. Persky, MD

Hi DG1, Sorry to hear that you are suffering from a droopy eye lid after Botox. I have not heard of using Aphagan P (a glaucoma eye drop treatment) for your problem. I have heard of using Visine eye drops that cause a vaso constriction, and help a little for a few hours. Fortunately I have not had to advise... more

Comments (8)

DG1
5 posts
1 Dec 2008

Thank you so much doctors Shafer, Westreich and Maddali for your kind reply. I will now start using Alphagan. My eye is perhaps about a 1 mm more opened, if any. I really do not know if what I see is due to the eye drops. Anyway, this is my fourth week and the eye is still dropped. However, your response has given me lot of comfort and trust this will pass. I will keep you all posted on my droopy eye improvement. Thanks, thanks so much.. DG1

DG1
5 posts
9 Dec 2008

Well, a have good news. I am going into my fifth week after getting Botox and having a droopy eye and guess what....my eye turned for the best. It is almost normal.!!! Thanks for your answers ...The effect is amazing, I just wished that droopy eye did not occur. Will I do it again? I probably will but, I will ask more questions and alert the doctor about what happened.... Thanks again for your support....

SM
1 post
24 Dec 2008

Thank you ALL so much!!! I have the same problem and I was terrified because this happened right after my blephoroplasty (which was fine).

D'Anna Travis
1 post
28 Jan 2009

I don't know if it is the fullness of the eyelid for the eyebrows, or the droopy eyelid. The doctor looked at it and gave me drops. I look like my eyes are squinted now. N E others ideas?? Thanks - D'Anna

pkeye
3 posts
14 Apr 2009

i recevied botox and my eyelid completely closed. i am now off work. is it fair to be compensated for my time off. how long does the effect last? th docotor said it will not be permanant but can't tell me how long. thanks.

kim soltysiak
14 posts
6 May 2009

i wish i would have figured this out sooner. i have been treated for dry eye the same week i decided to use botox for the first time. i started having a heavy eye lid and the opthamoligist kept telling me it was the dry eye even after i said i had botox. i finally went back to the dermatoligist- after it became spasmastic and he injected more to stop the spasm but gave no info on the droopy eyelid. visiting DC for a conferance it was so bad i found a cosmentic surgeon in the area and he explained what happened and gave script for isodine. i have used now for one day and hope it helps. what is the differance between isodine and allergan? it has been three weeks since original injection and i to have lost time working. i am private practice therapist and sustained eye contact is not possible. should i be making a complaint? my doc was a board certified dermatolgist and he injected in the eyebrow- even though this was not area of concern and i had to have this correctred within the week because it looked terrible anytime i looked surprised. i had no idea of any of this.

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