Dropped eyelids after Botox, would antibiotics help my situation? (photo)

This type of ptosis which is truly severe only occurs when botox is inadvertently injected through an opening in the forehead bone just above the eye.  A nerve and blood vessel normally travel in this bone canal.  When botox gets injected into this opening, the botox can then track deep into the orbit profoundly affecting the muscle that opens the eyelid.  It is improbable that this will wear off before 3 or 4 months.  I had one patient that took a full year to recover.  See an oculoplastic surgeon  for a baseline assessment and this individual can carefully follow you.  Try iodine. It is unlikely to work initially.  When it does start to work, it will mark the time when the effect will begin to wear off.  We found that once the drop starts working, the overall ptosis effect will resolve at that point in about 4 to 6 weeks.

Botox
injections can be placed too low, or too much of the substance has been
placed in your forehead (this can happen if you have a small forehead) or the
product has migrated causing the eyelids to droop. Iopidine eye drops will be
helpful but you may also find that additional Botox can be used to treat
asymmetry and can work to raise the brow and the eyelid. Please ensure you
visit a practitioner with plenty of experience in this technique if you
decide to try this. You may of had a bad experience this time resulting in a
dropping eye, but this doesn't and won't always happen so don't let this
deter you. Try to visit another practitioner next time who is highly
experienced and will know the right dosage as well as the right areas to
inject to minimise the chances of this happening again. The eye will return
to normal once the effects of the Botox wear off and you'll see this happen
gradually within 3-6 months. Unfortunately, antibiotics would not be useful
for this.

Thank
you very much for your question and photograph. It does appear from your
photograph that your Botox migrated from its intended area, making your right
eyelid droop (sometimes referred to as ptosis). Unfortunately, there is little
that can be done at this stage and antibiotics will not help. The results will
take two to three months to wear off, and at this time, your eyelid should go
back to normal. However, I recommend that you contact your Botox provider for
an evaluation.