Could I get a droopy eye?
Doctor Answers (5)
Bruising and eye heaviness 3 days after Botox...
In the mean time, I have the following to offer...
In terms of the "bruising/knot", that will likely resolve in a week. Have your physician re-examine the area when you follow up.
In terms of the eye "heaviness", you will have to wait approximately 7-10 days for the full effects of the Botox to set in. At that point your physician can assess if you truly have any heaviness -- whether that is a droopy eye-LID or a droopy eye-BROW. The distinction is important because each has a different treatment that may help. That way, you may not have to wait for the full duration of the Botox (3-4 months) to be over before the eye "heaviness" (if present) is improved...
A droopy eye-BROW from Botox can sometimes be improved with Botox injected into the outside part of the eye (the lateral aspect of the orbicularis oculi) to generate a bit of a brow lift in that area -- by paralyzing the orbicularis muscle that normally acts to depress the brow, you may get a slight compensatory brow lift with more Botox...
A droopy eye-LID due to Botox can be treated with Apraclonidine eye-drops which can provide a small (2mm) improvement. Be sure your prescribing physician discusses all the potential side-effects of the drops, such as "adrenaline-like" symptoms like anxiety or heart pounding; you may also experience eye irritation, eye dryness, and eye pain, amongst other symptoms. If these symptoms occur, you will likely need to take some lubricating eye drops, lower the dose, switch the eye-drops, or stop the drops altogether...
In the future, I would recommend that you seek the services of an experienced physician injector. I think the key with Botox lies in truly understanding the anatomy of the injected area, and more importantly the variability in the anatomy between patients -- for brows, the forehead, and anywhere else you plan on receiving a Botox injection. This includes having a firm understanding of the origin, insertion, and action of each muscle that will be injected, the thickness of each muscle targeted, and the patient variability therein. As an aesthetic-trained plastic surgeon, I am intrinsically biased since I operate in the area for browlifts and facelifts, and have a unique perspective to the muscle anatomy since I commonly dissect under the skin and see the actual muscles themselves. For me, this helps guide where to inject and where not to. However, with that said, I know many Dermatologists who know the anatomy well despite not operating in that area, and get great results.
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Botox and droopy eye
- Botox can cause bruising. It subsides.
- Only time will tell if the upper lid heaviness will lead to a droopy lid.
- In another 48 hours, if you do not have a droopy lid, you are unlikely to get one.
- Injections of Botox should be at least a half inch above the brow. to reduce this risk.
Droopy eye from Botox
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.