Severe eyelid ptosis after Botox (PhtoO)

Question

After botox, eyebrows drooped from the inside and spiked from the corner visit2 injected under the eyebrow. visit3: injected above the corner of the eyebrow to bring spike down. In 3 days, my left eyelied started to droop 3 weeks after that last injection and I still have severe eyelid ptosis iopidine drops help a little. Saw eye doctor, eye fine When should gradual progress start?What caused it, the injection under my brow or above the corner? Can it be anything else ? Area above eye bit heavy

Jason Emer, MD · Answer

Botox results will gradually resolve in 3-4 months. In the mean time, venus legacy or thermage treatments can also give improvement. See an expert. Best, Dr. Emer

Martin Jugenburg, MD · Answer

Although very rare botox can cause lid ptosis.  Your injector or eye doctor can prescribe Iopidine which will stimulate the muscle and improve the ptosis temporarily until the botox wears off.

Nabil Fakih, MD · Answer

Thank you for your question and for submitting your photo. Eyelid ptosis is a rare complication of Botox injections that occurs when botox is injected over the brow and that affects the palpebral muscle. This is often due to improper injection placement or massaging after the botox, or vigorous sports has been doing after injection. The treatment for that is time, to wait, and with iopodine will help a little.

Jordan Rihani, MD · Answer

Hello MissingInAction and thank you for your question. Sorry to hear about your eyelid weakness following Botox. It is difficult to say which injection specifically caused the problem. In addition to the drops, unfortunately the solution is to wait for the effects to wear off - which may take up to 3 months. Best of luck!

Pedram Imani, MBBS(Hons), MS(Hons), FRACS(ORLHNS) · Answer

You have unfortunately experienced a rare complication, which almost always only results due to a poor injection technique (under your eyebrow) by an injector who has not assessed your anatomy in depth or injected too many units too deep.  You now just have to patient and us the drops intermittently.  Hope this is helpful.

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Severe eyelid ptosis after Botox (PhtoO)

Answers (8)

Answer: Eyelid ptosis following Botox

Answer: Eyelid ptosis following Botox

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Answer: Botox injection - Expertise

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