How Do You Correct Eyelid Drooping from Dysport?

I had Dysport injected one week ago to give me a little lift in the brow. About 5 days in I noticed some drooping of the left eyelid and haven't really seen any brow lifting. Botox has always done this for me in the past. I am wondering if adding some Botox would lift the brow and how long do I need to wait to go back to the Botox.

Doctor Answers 9

Droopy lid with Dysport

The most important thing to first decide is whether the drooping is your eyelid or your brow. These would be treated differently. Lid droop can be treated with iopodine drops. I would go back to the person that injected and see what they say as an experienced person might be able to correct this. A true lid drop often clears in just a couple of weeks regardless.  This can happen with Botox as well as Dysport but some think that Dysport has to be injected more carefully so go to someone who has experience.

Birmingham Dermatologist
5.0 out of 5 stars 19 reviews

Eyelid drooping after Dysport

Botox and Dysport can both cause side effects. A well-known side effect is ptosis, or drooping of the eyelid. An experienced facial injector should be able to determine with an exam whether the problem is truly an eyelid ptosis or whether the brow is also affected. The treatment would be different depending on the problem and where previous injections were placed. Occasionally some additional injections of Botox or Dysport can be helpful to lift the brow, but this effect will be relatively small. 

If the problem is true eyelid ptosis, prescription eye drops can help to raise the lid temporarily, while the patient waits for the effects of the injection to wear off. This usually only takes a few weeks, rather than the full 3-4 months that these medications typically last.

Matthew Richardson, MD
Frisco Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Drooping After Dysport Treatment

If you have drooping of your eyelid, I would suggest seeing your injector in order to be evaluated in person. Prescription eyedrops are available that may improve the drooping by opening up the lid a couple of millimeters. Unfortunately, the only other thing to do is to wait for the product to wear off. It may also be a good idea to try less product and to make sure you are being treated by an experienced injector. If Dysport is causing drooping for you consistently, maybe you can try Botox.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

Post Dysport Treatment - Eyelid

Thank you for your question. I would wait about 3-4 months after the effect of Dysport has dissipated. Sometimes you can get diffusion into other muscle groups causing this resulting droop. If you have had great success with Botox, you may want to stay with Botox. Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables for the safest and most effective treatments. I hope this helps.

Sonia Badreshia-Bansal, MD
Bay Area Dermatologist
3.9 out of 5 stars 12 reviews

Eyelid Drooping After Dysport

The most common side effects of Dysport are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea. These can occur hours or weeks after treatment. I would suggest being patient and allowing more time for this side effect to subside. Best of luck.

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
4.8 out of 5 stars 107 reviews

Droopy eyelid after botox/dysport

An eyelid droop can occur after treatment with botox or dysport. Sometimes iopidine drops can help. See your doctor that performed the procedure and decide on the course of action.


Gary Goldenberg, MD
New York Dermatologist

Droopy eyelid after a Dysport injection

the use of iodipine drop can mask the droopy eye until the Dysport wears off enough to lift the eyelid, but you need to discuss with your doctor the side effects of the iodipine as you might have some mild vision effects with its use.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Correcting droopy eyelid


The first thing to figure out is if your brow has dropped and as a result makes your eyelid look droopy or if it truly your eyelid.  If the arch in your brow has flattened, then most likely it is the brow that has dropped.  If your brow still maintains its original arch and can move up when you contract your forehead then it's the eyelid.  In either case, be reassured that the results are temporary and will subside on their own.  Adding more Dysport or Botox if there is already too much is most often not the answer. (Either would have the same effect)  In some cases, a small amount may be placed in another area to help lift the brow but generally speaking it is best to leave it alone and not chance the problem and potentially worsen it.  If it is the eyelid, you can use iopidine or neosynephrine eye drops to help lessen the effects until they have lessened or worn off on there own. (generally takes a few weeks)

Good luck~

Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 147 reviews


I would first distinguish whether the you have an eyelid droop or a brow droop.  I would recommend that you see your physician for follow-up to determine what exactly you have.  If you are experiencing an eyelid droop, then this may be treated temporarily with iopodine drops.  

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 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.