My Botox Has Gone Wrong- Eyes Are Puffy With Hooded Lids. What to Do?

I had botox 4 days ago and i look terrible.I have been getting botox on and off for about 6 years now and i never had any trouble until now. I went to a different clinic, looked lovely had all the qualifications etc but im devestated with the result. when i get up in the morning my eyes are all puffy and heavy- it feels like i cant open them, my eyelids are hooded and when i try and frown i look deformed as my eyelids droop down.I still have a tiny movement in my eyebrows can anything be done?

Doctor Answers 6

Hooded Lids from Botox

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Unfortunately, this is a bad injection. Too much may have been injected, but it sounds like it was also injected in the wrong area. Your frontalis muscle has fallen, which is what makes the eyes look hooded like this. There's not a lot to be done, unfortunately. Time is your best bet. I would definitely return to the clinic where you were injected though, so your injector can see what happened. If you've previously liked another injector, I'd stick with that place, and remember that price shopping will not always find you the best injector!

So sorry to hear this.

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You got a bad treatment.  Time is generally the best solution for this.  I would be very careful if someone wanted to inject you with more BOTOX to correct this.  They may mean well but it can actually make your situation worse. It will take many months for the effects of this to fully resolve.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

My Botox Has Gone Wrong- Eyes Are Puffy With Hooded Lids. What to Do?

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Sounds like the Botox was injected too close to the eyebrows are they dropped.  This give added fullness to the upper eyelids.  IMHO, wait for the Botox to wear off and consider going somewhere else in the future.  Try to raise the eyebrows and close your eyes often during the day as exercising the effected muscles will make the muscle function return more quickly.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

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Botox gone wrong

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The hooding and heaviness of your eyelids most likely is from injection of the forehead. The frontalis muscle is the only muscle that raises your brows. Botox here relaxes the horizontal wrinkles, but can drop your eyebrows. This sounds like what happened in your case. There is no other treatment other than time as the botox will ware off in 2-3 months. In the meantime I suggest you go back to where you got it and let the physician take a look at you. Hope this was helpful. Best regards Dr D

Louis M. DeJoseph, MD
Atlanta Facial Plastic Surgeon
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Puffy droopy eyelids after newprovider botox

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If your forehead was treated and is lower than usual, it has brought down the eyebrows and eyelids too. If the upper eyelids are droopy without the brow, then possibly the levator muscle can be treated with a prescription Iopidine eyedrop to cause it to contract and lift up a little. If it is not the levator that was affected, and it doesn't appear to be based on your description,  but just the droopy forehead, possibly injecting the glabella (between the eyebrows) if it wasn't treated, or by placing more units in the glabella and outer tail of the eyebrow will help lift the eyebrows, forehead, and wtih that the eyelid areas.  It may be though, that there will be still, an ongoing drooping for a few more days as the Botox becomes more effective.  Sometimes filler, injected off-label, into the outer eyebrow area can help lift the eyelids a litte. Time will make it all come back to normal, but this can take 12 weeks or more.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
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Adverse Botox Outcomes

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I agree with the panel that it sounds as if you were injected too low on the frontalis muscle.  Time will resolve this issue, but I encourage you to notify your injector.  Most injectors appreciate feedback from patients and will often do what they can to maintain a good relationship with them.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
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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.