Raised Eyebrows and Drooping Lid After Botox

Hi Shara. Unwanted effects related to botox treatment are always temporary and will resolve with time. Unless the area of your concern received a full treatment of botox directly, unintended effects of treatment typically resolve within weeks. Discuss your concerns with your doctor. In some cases, overly raised brows may be addressed with additional botox treatment to the brow elevators. Until the effects of the botox wear off, the eye drops that you are using may help to improve the drooping eyelids. Good luck.

Thank you for your question. Sorry to hear about the droopy eyes. It sounds like you are experiencing ptosis. It is something that can be partially corrected with the use of eye drops. Your physician would need to prescribe it. It will also wear off as the effect of Botox wears off.

Let me start by saying your symptoms are likely NOT permanent and will improve to their pre-injection state.(1) Your first complaint about the raised eyebrows are likely referring to your lateral brows (outside areas).  Typically the Frontalis muscle that serves to elevate your brow may not have been adequately targeted in that area -- the simple solution would be to receive a little more Botox in that area to improve symmetry.(2) Your second complaint, a droopy eye-LID, can be treated with Apraclonidine/Iopidine eye-drops which you already have.  These may provide a small (2mm) improvement. Make sure you put in one drop at a time, tilt your head back, and close your eyes to make sure none of the eye-drop leaks out.  Be sure your prescribing physician discussed 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, be sure to 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.Good luck.- Dr Markarian