Did Facial Massage After Botox Ruin Results?

Physiologically, Botox attaches to the muscle receptor of nerve endings immediately and irreversibly. We ask people not to engage in activities that may spread Botox out of the injection area for up to 36 hours out of abundance of caution but the attachment is very quick. By 3-5 days we expect to see near complete effects of the Botox action. Massaging the area 4 days later would NOT have displaced Botox (because all of it has attached by then).

The reason why "the skin above my eyelids went really puffy and sagged." is because of the way the Botox was injected: "I had Botox in my forehead and above my eyebrows " Injecting Botox above the eyebrows weakens the muscle which lifts the brows and they sag creating excess eyelid skin.

This effect would last as long as the Botox effect lasts 4-5 months and then normalize. I suggest you may want to think about getting a Plastic surgeon to do your Botox injections in the future.

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A massage 4 days after a Botox injection should have no effect on the results of the treatment.  It often takes a week or so for Botox to work.  I suspect that your drooping eyelid are due to the fact that you eyebrows are drooping from the Botox injection.  If this is the case the problem will reverse as the Botox wears off.  I would suggest going back to see your cosmetic surgeon to be sure that there is no other problem.