Fast facts

Botox 


What it is: Cosmetic injection to relax wrinkle-forming facial muscles intended to reduce fine lines and wrinkles. Botox injections typically last up to 4 months.


What it addresses:

- Lines between eyebrows
- Furrows on forehead
- Crow's feet
- Smile lines
- Neck wrinkles
- Bell's Palsy
- Facial Asymmetry
- Excessive sweating


 
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Question

What can I do to reduce swelling from Botox injections?

Had botox 5 weeks ago in the middle of forehead. Since then I can not see very well because the upper lids have swelled. I have slits for eyes. I was told it would last a few days, but it just got worse. I have tried benedryl, ice, Nephcol eye drops and no results. In the morning its the worst. What can I use to reduce swelling from Botox? Do you have any suggestions and please tell me this will go away.


Asked by: deedee2652@aol.com
Brooklyn, NY

Answers (1)

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1
September 4, 2008

This is only good if you are Droopy (of Snow White and the Seven Dwarfs)

Michael A. Persky, MD
Michael A. Persky, MD
Board Certified
Facial Plastic Surgeon

When Botox gets into the orbicularis oculi muscle, it makes it difficult to open the upper eyelid.  This usually occurs when Botox is injected too close to the eyelid, or if too concentrated of a dose is used.  Unfortunately the effect can last anywhere from a few days to weeks to months, again depending on the amount of Botox in the muscle. 

The good news is that this will go away, hopefully sooner than later. This occurs more often in patients who have had previous forehead surgery (brow lifts), so that Botox needs to be injected further from the eyebrow in those patients.  Visine eye drops are a temporary help in elevating the upper eyelid if you have social events, but "tincture of time" is the only sure remedy. Sorry that you have to suffer from this rare side effect. 

Again, it is very important to choose your physician carefully when having medical procedures.  I hope that by the time that you read this that your symptoms have resolved, and that you can relate to my favorite of the 7 dwarfs, Happy. Be well.

That other dwarf, Doc (P)

 

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