Could dry eyes 2 weeks after Botox be permanent?

Thank you for the question and sorry to hear you are having this issue. Fortunately, this is temporary as are all things Botox. Please share your experience with your Board certified plastic surgeon your next appointment and perhaps slightly altering the injection site can lessen this issue for you in the future. Best of luck!

If it persists, I recommend following up with your Doctor. Botox results resolve in 3-4 months. Best, Dr. Emer

I’m sorry about the dry eyes!  The good news is that the effects are not permanent with Botox or any of the other similar products.  The bad news is that the dryness could last for several months.  There are eye drops that can help with unexpected effects on the eyes, I would definitely contact your injector!  Best wishes 

Thank you for the. Fortunately, this is temporary as are all things Botox. Please share your experience with your Board certified plastic surgeon your next appointment and perhaps slightly altering the injection site can lessen this issue for you in the future. Best of luck!

Thank you for your question Tillyfrancesca. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a formal exam where the entire medical history is reviewed. However, I hope the information provided here is useful.The appearance of frown lines is variable from person to person. Usually they are in a vertical orientation but sometimes they can be oblique and sometimes a horizontal line is seen across the upper portion of the nasal bridge. The most common variation is to have two parallel lines, hence the common term "11's" to describe them. But some people have one, three, or more lines. Some people also will see a bulge in the area when contracting the muscle. This bulge is smoothened out after a Botox treatment.The pivotal studies used 20 units of Botox in the glabella area between the brow to address the frown lines. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.Dry eyes is a rare and temporary side effect of a Botox treatment and can be treated with eye drops. If I had a patient with the concern described here I would recommend not worrying as the effect is not permanent.
After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.

Please consult with a doctor for specific recommendations. Good luck!

Though dry eyes after a Botox treatment is uncommon it can occur as you already have experienced. Sorry you had this reaction. Sometimes simply shifting the placement a few millimeters can help and is at the discretion of your medical provider based on your anatomy. Ensure you are seeing an experienced medical provider for your treatments. Botox placement is as much an art as it is technical.  The good news is that it is a temporary issue. Use artificial tear drops before you go to bed/sleep and right when you wake up in the morning helps. Use the artificial tear drops during the day as well. If things get worse or something simply does not seem right to you go see an experienced medical provider.

The dry eye effect of Botox is actually due to the inability of the lids to close as easily due to the muscle relaxation effect of botox.  When the Botox wears off, the lids can close at their baseline again.  The dry eye symptoms can linger longer, as it often takes 3 weeks of optimal lubrication of the eyes for them to feel good again.  
Perhaps you should ask your ophthalmologist for punctal plugs, Xiidra or Restasis.  Or, at the least, use preservative-free GEL drops during the day, and lubricant eye OINTMENT at bedtime.
As an oculoplastics doc, I am familiar with both Botox and dry eye.  We were the first physicians using Botox...and did so for nearly 20 years before other physician specialties (including plastic surgeons) addopted use of Botox. 

Thank you for your question. 
I completely agree with the other two answers. Although uncommon, you can have dry eyes after Nuerotoxin around the eyes. 
It can also cause dry nose, dry mouth, double vision and difficulty in swallowing. All very rare.   
But all should be non permanent as the neurotoxin (Botox) defect will only last 3-4 months. 
If it doesn't resolve by this time, I advise you see your Doctor who has done your treatment to review if this could be cause by anything else. 
All the best. 

Although not very common dry eyes can temporarily occur from Botox around the eyes but like all things associated with Botox nothing including this is permanent

If your condition is caused by Botox, then hopefully your lacrimal gland will be back to normal function after 3-4 months. In the mean time, use lubricating eye drops daily.