Droopy Eyelids after Botox? Or Aging?

Can someone advise me how to know if eyelids are droopy due to Botox or simply aging? I've been getting Botox for 2 yrs. I'm 32 yrs old. Noticed my lids heavier & droppier as time progresses or perhaps I never took notice before. Mornings they droop intensely & sometimes remain "fatty" & droopy all day if very tired. OFTEN, Mid afternoon & evening they sink back in, Lids don't hang, have a nice deep crease. My eyebrows are nicely arched & do not hang. How to know if this is a Botox issue or not?

Doctor Answers 6

Droopy eyelids after Botox? Or Aging?

Thank you for your question. If your concern was Botox related, your eyelids would most likely feel heavy at all times until the Botox starts to fade. Wait 3 months until the Botox starts fading and evaluate if you still have this issue. 

All the best, 

Toronto Plastic Surgeon
4.9 out of 5 stars 469 reviews

Eyelid drooping

Over time as bony prominence decreases and fat volumes and collagen reduce, the skin of the upper eye starts to sag.  This can be exacerbated by too much Botox in the forehead causing the brow to lower and push the upper eyelid skin down.  If the feeling decreases as the Botox begins to fade, consider lower amounts of botox in the forehead. If not, then laser or surgical intervention to tighten the lid skin may be needed.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

It might be due to Botox.

Drooping of the eyelid may occur if any amount of Botox, when injected for the forehead or for the frowning muscles, makes its way down to the eyelid muscles, either by rubbing the area after the injection or by a suboptimal technique. It is estimated to occur in about 1% of Botox treatments, but is never permanent.

Normand Miller, MD
New Hampshire Vascular Surgeon

Botox Causing Droopy Eyes


Thank you fro your question.

Botox results are temporary and can last 3 up to 6 months. I'd recommend reassessing after your Botox was worn off.

All the best. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Could be botox

The best way to tell is to see how the brow responds after the botox has disappeared. Give it 4-6 months.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Botox and droopy eyelids

Botox is one of my favorite products for wrinkles.  To determine if it is again or Botox you should let all of the Botox dissipate and re-examine afterwards. Feel free to post photos after all of the Botox has gone away.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 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.