Can Botox Change the Shape of my Eyes?

The eyebrow and upper eyelid complex can definitely change if the forehead above the eyebrows is treated by Botox as the Botox relaxes the forehead muscle and the eyebrows then fall. With them, the upper eyelids can sag and push on the upper eyelid crease making it difficult to apply eyeshadow without pulling up the eyebrow with the other hand. 

Experienced physicians who perform Botox treatment know that there are areas to avoid so there is less drooping but sometimes unwanted adjacent areas do get relaxed and can cause a drop even with experienced doctors.

Sometimes the droop can get lifted with precise placement of botox in the glabellar region of the forehead (between the inner eyebrows) and close to the outer eyebrow as these two areas are the depressor muscles of the forehead. By relaxing the depressing effect, the remaining active forehead muscle, which lifts the eyebrows, will possibly help correct the flat, angry-looking, eyebrows and eyelids.

Botox is a purified protein neurotoxin that paralyzes the muscles it is injected into. The muscles that cause frown lines between the brows are the most common targets for Botox treatments (and the one area which is FDA-approved for Botox Cosmetic use). However, it is perfectly legal, appropriate, and common for physicians and properly-supervised nurse injectors to use Botox off-label for other wrinkle-causing muscles such as in the forehead and crows feet areas.

Of course, you still need to be able to blink and open your eyes, so complete paralysis is neither reasonable nor appropriate. While the amounts of Botox you had injected were quite conservative, the location of the exact paralyzing injections can indeed cause the appearance of increased resting muscle tone in areas NOT injected (and lack thereof in the Botox-treated locations), potentially causing changes in the appearance and position of your eyelids. It's not just "injectable beauty" unless it is artistically and accurately utilized by someone knowledgeable in the anatomy of the facial muscles of expression.

I'm not sure what you were expecting from your Botox injections, but it is clear the product worked as intended, but perhaps not causing the appearance you expected. Fortunately, Botox effects last 2-6 months (average 3-4 months), so the unintended appearance changes will gradually get better. It is important that your doctor knows just what you don't like about how the Botox makes you look, and that you understand just what and what cannot be done with Botox.

The good news is that once you have more precise information about what can and should not be anticipated with Botox use, you can better ask for the desired specifics of treatment, or consider another expert injector who will better achieve your goals. Keep that appointment and ask lots of questions! Best wishes! Dr. Tholen

I think it is important for you to go in to see your doctor to be properly evaluated.  Soemtimes if Botox is placed low in the forahead, the brow drops.