How Long Does Eyelid Droop After Botox Last?

had botox treatment and 3rd day after noticed right eyelid droop. Droop has become progressively worse now 1 wk post and using lipodine drops without much improvement. MD is certified and has done procedure many years without this outcome. Had botox in the past twice no side effects. How long does this eyelid droop last and is there any other treatment that may help? thanks in advance for any answers or suggestions

Doctor Answers 24

The “eyelid droop” usually goes away within the first 1-2 months

The “eyelid droop” usually goes away within the first 1-2 months. BOTOX can last up to 3-4 months and sometimes the “eyelid droop” won’t go away until then as well. But usually, the side effects resolve before the results go away which is within 1-2 months.

New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

It really depends on the amount that leeched into your eyelid muscle...

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.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 22 reviews

Usually 1-2 months

Unfortunately, this happens when some of the medication diffuses to the upper lids and relaxes the muscles that raise the upper lid. The eyedrops may help, usually self-limited 1-2 months. Good Luck.

J. Vicente P. Poblete, MD
Cleveland Plastic Surgeon
4.6 out of 5 stars 23 reviews

Botox and Eyelid Droop

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).

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

Upper Eyelid Droop After Botox

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.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 86 reviews

Eyelid droop after botox

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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox and Eyelid Droop

Thank you for your question. It rare to have eyelid droop after Botox injection. This happens when the Botox spreads from the injection site into the levator muscle of the eyelid. This will get better in 1-2 months. Your doctor can prescribe you lipodine drops in the meant time to help partially correct this. I recommend having a follow up with your injector for an evaluation. Best of Luck!

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Eyelid droop after Botox

Depending on where the product was injected, this could last from 1 month up to 4 months.  I would discuss this issue directly with your injector.

Sean Paul, MD
Austin Oculoplastic Surgeon
5.0 out of 5 stars 18 reviews

Droopy eyes after Botox

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.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Eyelid droop

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.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 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.