Can ptosis from Botox cause permanent eye dropping issues?

Increased laxity of the upper lids and loss of volume of the bony prominences of the brow leads to brow and eyelid droop over time.  This can be exacerbated by swelling, lack of sleep, etc.  Botox can rarely cause a temporary brow ptosis or eyelid ptosis.  This ptosis should resolve over time and have no ill effects long term.  It is most likely that the bad experience has made you hyper aware of the area.  Seek a consultation with an expert in facial aesthetics to evaluate your surgical and non-surgical options to address the problem.  Make sure to have an open and frank conversation about previous experiences and expectations prior to initiating any therapy.

Botox can only temporarily effect a muscle. The muscle always returns to normal over time, so the very unfortunate problem you had with a prior Botox injection can not cause a permanent problem. A personal exam would be necessary to determine the cause of your droopy eyelid. More than likely, had you not had that Botox injection in the past, you would still be dealing with a droopy eyelid today. Fortunately, it is only noticeable in the circumstances you mention. If it really bothers you, see an eyelid specialist.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

Thank you for your question and I am sorry to hear of your issues following botox.  Because botox only has temporary effects, I do not think that your eyelid issues after drinking are the result of your injection in 2008.  What can develop with age and gravity is excess upper eyelid skin resulting in excess skin that can impact your eyelid position.  You may be a candidate for an upper eyelid lift, or blepharoplasty.  Hope this helps.

Botox causes a temporary effect.  Given the length of time from the injections, the ptosis you have is not related to the Botox.  Best Regards.  

Botox effects are temporary, so it is highly unlikely that your current eyelid drooping is related to your previous Botox injections. I would suggest visiting an eye specialist to find out why your eye droops in these specific conditions.