I Had Dysport 24 Hours Ago & Am Already Having Swelling and Drooping of Eyelids. Will This Get Worse and Was It Due to Error?

There are two types of drooping seen following a botulinum toxin service:  actual eyelid margin ptosis and eyebrow ptosis.  Without a photograph it is impossible to know which one your are describing.  Generally if you have it after 24 hours, it is going to be pretty bad.  Yes it is a foreseeable error that may not may not be avoidable on the part of the treating physician.  It is likely that you doctor described this potential complication in your consent and you agreed to have this treatment despite the potential risk of this complication.  It occurs in less than 2% of treatments ( much less in very experienced hands)  Drooping can be short lived lasting a couple of weeks or it can last for months.  There is treatment if the drooping affects the eyelid margin in the form of droops.  Let your injecting physician know what is going on and have them assess you.

Thank you for your question. Sometimes people can feel or see heaviness of the lids which can last up to 2 weeks or longer. I would wait about 2 weeks for the final effect to get evaluated by your injector in case its temporary as the Dysport settles. If it does not resolve, its possible that Dysport may have traveled to other muscle groups causing a temporary droop. 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.

Even when Dysport injections are performed properly, there is a chance that ptosis (drooping of the eyelids) can take place.  This is not an abnormal time for any side effects to occur, and they usually reach their peak around this point following the injections.  Side effects from Dysport injections can include the following:

 

1) Bruising
2) Headaches
3) Eyelid ptosis
4) An expressionless appearance - (if too much is injected, or the injections are not performed properly)
5) Minor swelling

Duration and onset of side effects can vary from patient to patient, but generally will subside over a few weeks to months.  There are special alpha agonist eye drops that can be taken to temporarily open the eye during your recovery.   I hope this helps, and best of luck!

This happens occasionally and does not mean there was an error.  The drooping can be subtle and a cosmetic problem.  It may be due to a small amount of diffusion.  It will probably wear off within a week or so.  If the eyelid drooping is severe and interfering with your vision, you should return to your injector to see if you need eye drops to reverse this. 

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. Your symptoms are in line with the common side effects, so you should not worry. Wait for the side effects to subside.