How Long Does Eyelid Droop After Botox Last?

Eyelid droop after Botox injections is indeed rare, but can happen if the Botox spreads from the site of injection into the levator muscle of your eyelid. The important thing to remember is that it will get better. This usually improves over about a month's time, but should definitely be better at four months when the Botox effect wears off. Be patient.

Thank you for your question. Sorry to hear about the droopy eyes. It sounds like you are experiencing ptosis of the eyelids and brows. They eyelid portion can be partially corrected with the use of eye drops. Your physician would need to prescribe it. It will also wear off as the effect of Botox wears off in a few weeks to a few months depending how much eye levator muscles were affected.

Eyelid droop can be corrected with a prescription eye drop (Iopidine 0.5%). This can help alleviate the droop within a few weeks to a month, so you may need to wait a little longer for the eyedrops to take effect. You can also wait a couple of months for the effects of the Botox to wear off, at which point the droopiness will also go away.

Unfortunately this is a known complication after Botox with no great remedy.  As far as the progressively worsening eyelid droop, now 1 week out -- the full extent of the Botox may not be reached until about 10 days, so they eyelid droop may worsen before if improves.  But also be aware, although the eye-drops can help raise the lid about 2mm on average, sometimes they provide little or no improvement at all. Talk to your surgeon about possibly switching to different eye-drops.  Make sure he/she discusses all the potential side effects of the drops, including adrenaline-like symptoms such as "racing" your heart, making you feel anxious, as well as being irritating to your eye and rarely painful.The good news is that the eyelid droop is typically 100% reversible since the effect of the Botox is not permanent. Botox can last up to 4-5 months but typically the eyelid droop does not last as long because a lower dose of the toxin has reached part of the eyelid-raising muscle.Good luck.

The effects of Botulinum Toxin (Dysport or Botox) on the eyelid muscles causing droop (blepharotposs) can last several months. Occasionally the most dramatic effects are druing the first 2 weeks.Other than Lopidine another product is Alphagan (brimonidine tartrate 0.2%) 

Botox has very few side effects; however, one of the most troubling to patients is when an eyelid droops. This side effect is rare and happens less than 1% of the time. The drooping eyelid syndrome is not permanent. It will most likely wear off before the Botox does. If eyelid drooping starts three to four days after the injection, it will most likely last three to six weeks. If the drooping begins four to six days after the injection, it should go away faster. In the time it takes to wear off, the doctor might prescribe a medication by way of an eye drop that may reduce the drooping.

I have only seen this rare side effect once. It happened on a very elderly woman with very thing skin and muscles. It resolved in about 2 months. Some patients may notice some brow drop with Botox but this is a normal result of the treatment weakening the forehead muscles. It sounds like you are already using drops to give you temporary relief. Good luck and it will get better.

Unfortunately, eyelid droop (ptosis) after Botox can occur even in the most experienced of hands although it is rare.  As other posters have noted, it generally resolves before the aesthetic benefit of Botox wears off; this can take up to 2 months.  In my personal experience, the highest incidence of ptosis occurs when treating the lower lateral forehead or "Mephisto" lines.  Iopidine drops can alleviate the eyelid droop for social functions (not appropriate if a patient has glaucoma).

Ptosis, a droopy upper eyelid, is uncommon and may occur with anyone after any neuromodulator treatment  around the eyes, such as Botox Cosmetic. Ptosis is temporary and resolves once the Botox effect is gone, usually within a couple months. This temporary eyelid ptosis is treated with eye drops. Speak to your cosmetic specialist for an evaluation.

There is a difference if the eyelid is drooping because the levator which helps hold the eyelid up is affected, or if the forehead has lost its ability to elevate and you usually utilize your forehead muscle to help keep a sagging eyelid up. It could take up to 12 weeks to see significant improvement but this will not be permanent if it was caused by the botox.