I had Botox yesterday and now my upper eyelids are hollow and sunk in. What can cause this? (photos)

Question

I had the forehead done, not the crows feet. Still have moderate forehead movement but my upper eyelids have sunken in. I read there are fat pads in the eyes but no where have I found any reasoning behind sudden loss with Botox. I can’t even apply make up today on my eye lid as it is so sunken in. I understand the eye brows can sink if Botox is done incorrectly but I don’t think that has happened when I look at older pictures of myself. Also that doesn’t explain the hollowness. Please help.

Aldo Guerra, MD · Answer

I agree that Botox did not cause your eyes to sink in, but some swelling in the forehead could make the sunken eyes that occur naturally as we age appear worse. When swelling goes away you should return to your normal self! Good luck! Dr. Aldo

Hung William Song, MD · Answer

When the forehead is treated, the skin of the forehead can drop because the muscles are no longer able to hold up the skin. This can cause the heaviness and, in your case, the skin is collecting at the brow causing the eyes to look sunken. This will eventually wear off. Since you only had the treatment yesterday, it may get worse before it gets better. It is important to be very conservative when treating the forehead with neurotoxins.

Mehryar (Ray) Taban, MD, FACS · Answer

Botox can make the upper eyelid droopy which can make the upper lids hollow appearing. Looking at your photo, you have both eyelid ptosis and hollowness. You may benefit from ptosis surgery and/or filler injection. Consult with an oculoplastic specialist.

Eric M. Joseph, MD · Answer

Both of your upper eyelids appear too low, and this is referred to as ptosis. Ptosis can be related to Botox injections, but we have not seen this happen to both eyelids in any of our patients. Consider re-asking your query with before photos. If you have ptosis from the Botox, it will go away in around six weeks, and iopidine eye drops may be helpful. Best to make a follow up visit with your physician for evaluation. Hope this helps! Dr Joseph

Shaun Patel, MD · Answer

Honestly, it's too soon to see the effects of the Botox treatment and what you are noticing is probably not related to the treatment. The best thing to do is look at your before photos which hopefully were taken by your injector and will show that the hollowness was present prior to treatment. In certain cases, hyaluronic acid based fillers can help with periorbital volume loss.

Genevieve F. Caron, MD · Answer

Thank you for your question
I agree with my colleague comments, Botox didn't cause what you are describing. If you are bother by the apparence of your eyelids you should consult with a Board Certified Specialist to discuss your option (surgery, fillers)
Best Wishes
Dr Genevieve FCaron, Board certified Plastic Surgeon
Montreal, Canada

Jesse E. Smith, MD, FACS · Answer

Botox is dispensed in the forehead in 0.1 cc aliquots. Therefore, the area of your lower brow likely has an extra 0.5 cc or more of fluid in it. This should work it’s way out within 72 hrs and your brow and lids will likely look normal again. If you persist with difficulties, seek assistance from your original injector next week.

Sarah B. Sawyer, MD · Answer

I rarely do Botox injections in the forehead alone because that immobilizes the only muscle responsible for lifting the brow. I recommend also having injections in the muscles that oppose this motion to avoid the heavy brow. That said, because you are one day out I would wait to see the full effect before you judge it or adjust it.

Fiona Frie, MD · Answer

Hi - 
I'm sure the physician who injected you told you that Botox takes a minimum of 3 days to work. Often we look more closely at ourselves when we are waiting for something to happen and may start to notice things that were present before that we hadn't seen. The Botox injection you had couldn't have caused this as it is just way too early. Wait until your botox has taken effect - a full two weeks for the complete effect.You may even find you get a little lift of the brows.
If you're still not convinced take a look at other recent photographs of yourself and compare to now. I'm sure you will see this issue didn't appear due to your Botox injections. 
Take Care!

Leonard Grossman, MD · Answer

Botox couldn't have done this in any way, shape or form. You're simply looking at yourself more closely and you've come to realize that your eyes are hollowed. I'm sure if you look at your pictures taken just a few days earlier you will see the same. Good luck from New York City

I had Botox yesterday and now my upper eyelids are hollow and sunk in. What can cause this? (photos)

Answers (15)

More Botox Questions

WE SEND PRETTY
EMAILS

Answers (15)

More Botox Questions

I have been experiencing horrible anxiety and panic attacks since I was injected 4 weeks ago, read online this is very common.

Is dermawand ok to use right after Botox?

Jaw popping after Botox in masseters for facial slimming?

Can Botox make blepharospasms worse?

Dents above eyebrows, 6 days post Botox, will this go away?

Is Botox safe with a cold and possible ear and sinus infection? Not on antibiotic, but taking alka seltzer cold.

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS