Botox side effects 7 months later? (Photo)

Question

I had Botox in three areas and have been left with a droopy upper eyelid and asymmetric appearance. Can it take longer than 7 months for this to resolve or is it something else?

Jason Emer, MD · Answer

Botox results last up to 3 to 4 months and can be softened with Venus Legacy and Thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Jill Hessler, MD · Answer

In general Botox can last from 3 months to about 6 months for most people. It can last a shorter amount of time for some, particularly active athletes and long distance runners, and can last longer for others. To check if your Botox is still working I would recommend trying to make the expressions you were treating. Are you able to raise your eyebrows and crease horizontal creases tot he forehead, or frown and create vertical lines between the eyebrows. If you are able to do those movements (and those were the muscles treated) then the Botox has worn off and the effects aren't from the botox.

Anna Chacon, MD, FAAD · Answer

Botox complications, such as a droopy eyelid (ptosis), can occur, although they are relatively rare. These side effects usually appear within a few days of injection and typically resolve within a few weeks to months. Most literature suggests that Botox effects wear off within 3-4 months.

However, if it's been 7 months and you're still experiencing a droopy eyelid and asymmetry, it's essential to consult with your healthcare provider or the practitioner who administered the injections. They can evaluate your condition and determine if the prolonged effects are due to the Botox, a complication of the injection technique, or possibly an unrelated issue.

Please remember that online advice cannot replace a proper medical consultation. Always seek professional medical advice for health concerns.

Camille Cash, MD · Answer

At seven months post treatment the product effects should have worn off.  If your injector took before photos you may want to review them to see if this asymmetry was present before treatment as well.  If you are still experiencing issues I encourage you to return to your injector or an eye care specialist for an evaluation.

Leonard Grossman, MD · Answer

I highly doubt that the asymmetry was created by Botox. Your left eye is a little bit higher than the right eye and this depends on the bony position of the eye socket. That also creates completely different eyelids and eyebrow height. If you look at your photographs from years ago, you’ll probably see exactly the same relationship. I hope this helps and good luck from Leonard Grossman MD Plastic & Reconstructive surgeon.

Botox side effects 7 months later? (Photo)

Answers (5)

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