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Weak Eye Muscle After Botox-Induced Ptosis?

asked 1 year ago by ferne
Latest answer by Harold J. Kaplan, MD
Question viewed 516 times
Tags: ptosis, muscle, weak

i developed ptosis after botox--my question is can the eye muscle stay weak for an extended period of time after botox induced ptosis?

13 answers to Weak Eye Muscle After Botox-Induced Ptosis?

+1

Can Ptosis Cause Long Term Muscle Weakness to Eyelid?

Hi Ferne. We do not know of any effects on the eyelid lasting longer than 3-4 months. In fact, ptosis usually wears off within about 6-8 weeks but can depend on how much Botox was injected and how poorly it was injected. The muscles in the brow and eyelid should both recover completely once the Botox wears off. Good luck.
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

www.celibre.com

+1

Please see your ophthalmologist and get started on iopidine.

Dear Ferne The length of time the upper eyelid will stay weak very much depends on how much BOTOX got into the upper eyelid.  The upper eyelid weakness can be very short lived or it can last many months and in rare cases, even longer.  There is an eye drop call Iopidine (aproclonidine ophthalmic solution) that will stimulate a muscle inside the eyelid.  This can help improve the position of the upper eyelid while you are waiting for the BOTOX effect to wear off.  I... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

A weak muscle generally will recover as BOTOX wears off

A weak muscle generally will recover as the BOTOX wears off in about 3-4 months. Side effects related to BOTOX will often go away within a few weeks. see video
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon
+1

Droopy lid after botox

The effects of botox are temporary and usually last for three to four months.  Give it some time to wear off - if you still have a droop then you should see an oculoplastic surgeon or ophthalmologist for further evaluation.
Keshini Parbhu, MD

Orlando Oculoplastic Surgeon

www.orlandoeyeopener.com

+1

Weak eye muscles ---will it improve

The answer is absolutely yes. It will go away within 3 to 4 months at the longest and there has never been reported permanent damage to eye muscles after botoc injection
Arnold W. Klein, MD

Beverly Hills Dermatologic Surgeon
+1

Botox and eyelid ptosis

Once the effect of the Botox goes away which is usually less than four months, there is no lingering effect of the weakness. It is only temporary.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Eyelid Ptosis after Botox Injections

Although rare, Botox injections above the brows can cause temporary weakening of the levator muscle of the upper eyelids. Iopidine eye drops may speed up resolution of this problem.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

If lid ptosis persists, consider other diagnoses

As the other physicians have explained, eyelid droop [ptosis] after BTX-A treatment of the lateral part of the corrugator muscle [the injection directly above your pupil, usually at the upper edge of your eyebrow or lowest part of the forehead] can, on rare occasions, cause unwanted relaxation of the levator, which is the main muscle which lifts the upper eyelid. This problem usually resolves within a few weeks to a month. If it lasts longer than that, is is important to consider a... more
Kevin C. Smith, MD

Niagara Falls Dermatologic Surgeon
+1

Eyelid Droop From Botox

The eye muscle will not stay weak for an extended period of time as Botox induced ptosis rarely lasts more than a few months. While you are waiting, Iopidine eye drops can help things look better.
Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

+1

Botox and brow ptosis

Brow ptosis following Botox injection should improve within 4-6 weeks after the injection and should not be permanent.  If the eyelid hooding is really disruptive and is interfering with vision, eyedrops, e.g. apraclonidine can be used to counteract the eyelid droop a bit until the botox effects resolve.
Bryan K. Chen, MD

San Diego Dermatologist
+1

Complete recovery is the norm

Droop of the lid is perhaps the most frequent complication of Botox, but fortunately it does recover. The time to  recovery is variable, but your injector if it was a physician can usually recommend some drops the will help.  If the problem is a mismatch of the brow as well, the opposite brow can be injected to allow it to come down to give a better match. Dr. Mayl Fort lauderdale
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon
+1

Ptosis After Botox Injections

Hi Feme, The ptosis may have been unmasked by Botox injections in your forehead (the forehead muscles may compensate for undiagnosed ptosis by keeping the eyebrow and lid elevated).  You should be evaluated by an opthalmoplastic surgeon, probably once your recent Botox treatment wears off.  Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Botox, #beauty, Cosmetic procedures, #cosmeticdermatology, #plasticsurgery

Dear Ferne Thank you for your question.  The effects of the BOTOX should start to wane over the first month after the injection.  The eyelid can be treated in some instances with weakening the orbicularis muscle at the lid margin or some eye drops to help the eyelid open when you ar ein a public situation.  Please follow up with your Doctor and they can give you some guidence in this regards. With Warm Regards, Trevor M Born MD
Trevor M. Born, MD

Toronto Plastic Surgeon

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