Botox Around Eyes is Causing Double Vision, is This Normal?

Double vision following Botox is not typical nor is it expected.  When the glabellar region (eleven lines) are treated, it is crucial to inject at least 1 cm above the eyebrow.  Otherwise, this neurotoxin may take effect most commonly on the levator.  This will cause eyelid ptosis (dropping).  It is very rare for this material to effect the actual muscles regulating eyeball movement.  Keep close follow up with your physician.  There is a medication that can counteract botox induced eyelid droopiness.  But, if the other muscles are affected, it may take 3-4 months to resolve.

This is highly unusual when injected for cosmetic indications but not as unusual when injected for strabismus.