A lower eyelid botox injection caused pain and bleeding. Is this normal or should I be worried?

I'm so sorry to hear that you are having problems after Botox. Botox is historically an extremely safe and reliable treatment. The problems you are having should completely resolve if they are from the Botox. Botox can not cause a permanent issue. I'd highly recommend you speak with your injector about this and consider seeing an eyelid specialist.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

 Some bleeding can be normal after an injection. Botox usually dissolves in 3-4 months, so this will likely resolve.  I suggest speaking to a Dr. about your concerns.  Best, Dr. Emer.

I am wondering if you are on blood thinners since such bleeding is not usual from Botox, especially under the eye, where the injection is done just under the skin. And it sounds like the muscle was weakened too much from a heavy dose, causing ectropion. I would check with an oculoplastic surgeon for this unusual complication.

The good news in your situation is that Botox wears off over time. It sounds like you had some bleeding with your injection which happens from time to time. I would follow up with you injector for a recheck and to discuss your concerns.

It may be likely that the Botox may have caused the lower lid drooping. You should speak with your physician to allow them to work with you as this resolves. Remember to keep your eyes moist with artificial tear drops, if you are experiencing any dryness due to this as well.