Brows and Lids Feel Heavy After Botox

IF this is the first time you have had Botox injected, it is a common complaint and typically improves or resolves by 3-4 weeks. Botox should not even have taken effect at this point in time. As always discuss this with your surgeon.

some of the forehead may be getting affected by the botox and not able to elevate. As it drops, so can the eyelid. Sometimes, the doctor can put more botox in the muscles that pull down this area, so it helps lift the area that is dropping. Contact your doctor and get an appointment to be evaluated as there may be things to do to make you more satisfied, but you may not need to keep the appointment if things even out on their own in the next few days.

Hi Is,

You should contact your injecting physician and have them note in your chart your symptoms so that it will be avoided in the future, if you return.  For now all that you can do is be patient, let the Botox take effect, and hopefully you will be happy with the results.

In the future, you may want to try Dysport.  Patients report that with Dysport they do not feel the "heaviness" that they have felt with Botox in the past.  You may also tell your injecting physician to avoid injecting aggressively in your frontalis muscle.

Good luck and be well.

Dr. P

It would be unusual for you to start seeing some sort of effect from the Botox after only one day.  It can happen, but would be very unusual.  I would give it a week to see what happens. If at that point you are experiencing some droopiness, I would address it with your physician.

Since Botox normally takes 2-4 days to take effect, your immediate response is unusual. If you only had the forehead injected, and not the corrugator muscles between the eyebrows, it is very unlikely to affect the eyelids. You didn't say exactly where the Botox was plasced so it is hard to advise in your case, but my guess is that the forehead muscle was treated and causing a bit too much relaxation of the muscles that hold the brow up. It is a tricky balance sometimes, since the muscles that pull down win over the ones that pull up if they are treated only.