Botox to Paralyze Corrugator Muscles - Relieve Tightness

This sounds more like a muscle tension headache or possible nerve entrapment.. The anxiety component does not sound typical. It may be worth undergoing biofeedback so that you can confirm and control the problem without medications. Botulinum Toxin (Dysport and Botox) could provide some immediate relief but it does take 4-5 days to work and will ease the muscle contraction but not the anxiety

You need to be assessed by an oculoplastic surgeon to be certain that what you are interpreting as muscle tension is not some time of dry eye condition caused by your eyelid surgery.  Assuming that the eyes are not dry, I would next be concerned that you have some type of psychological reaction to your eyelid surgery.  Particularly if as you suggest the feeling is so bad that you write you might do yourself in over the issue.  There are circumstances where neurological medications or antipsychotic drugs can be helpful for how the brain perceives and interprets sensation.  A neuropsychiatrist or pain management specialist might be helpful for these issues.

Hi,

Botox injections into your corrugator muscles should relax the muscle tension that you are feeling.  I have not heard of this adverse effect after blepharoplasty.  You should discuss this with your bleph surgeon.  Good luck and be well.

Dr. P

Encino, CA