I Just Had Botox for the First Time for Crows Feet. The Overall Result is Good, but my Left Eye Looks Smaller Now?

I just had Botox for the first time for crows feet. The overall result is good, however my left eye is tensing and so appears my smaller than my right eye which is not. So instead of having to big eyes, which is my best facial feature - - I now look like I have one big eye. It looks like something is wrong with my face. Will this resolve by itself? Do I have to tug on that skin below the eye to get it to stop (not really working)...suggestions?

Doctor Answers 4

Complication of botox making one eye smaller

There may be nothing bad about  your treatment other than the Botox being injected differently one side vs. the other. It might be equalized by seeing your doctor. Please contact your doctor for evalutation.




The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox around the eyes.

It may that a muscle in one eye responded more to the botox than the corresponding muscle to the other eye. Do not try to correct the issue on your own, but do contact your injector to have him/her evaluate.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 39 reviews

Eye appears smaller after Botox

It sounds like one of the muscles in your left eye reacted more to the Botox than the same muscle on the other side, which is what is making your eye appear smaller. The good news about Botox is that it only lasts for 3-4 months. Usually small amounts of Botox are used for the crow's feet area, so the muscle should start working again sooner than that. You can always return to your injector for an evaluation. And no, don't tug on the area - that's not going to help!

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Botox and eye look

Without an exam it is hard to say what is the issue.  The eye shape appearance may change a bit with the change in motion around the eye and possibly the elevation of tissue laterally. An exam is critical

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

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.