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

Question

I had botox done on my forehead, eyebrows and crows feet on the 7 th of February two hours after injecting i have had rubbed my right eye, the second my right eye started dropping down untill its closed down now .does antibiotics helps in my situation?

Kenneth D. Steinsapir, MD · Answer

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.

Yannis Alexandrides, MD, FACS · Answer

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.

Paul Vitenas, Jr., MD · Answer

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.

Munir Somji, BSc, MBBS · Answer

This is an unfortunate side effect of Botox called eyelid ptosis. Please go back to your doctor who will prescribe some eye drops to temporarily open the eyes. Unfortunately you may have live with this for a few months. Don't lose faith in Botox this is rare complication and never rub your eyes after a treatment again!

Jeffrey Ridha, MD · Answer

Unfortunately, what you're experiencing is ptosis, or lid droop, as a result of the Botox injections affecting the muscle that is responsible for elevating the eyelid. Like all effects of Botox, this is temporary, but will take several weeks to improve. In the meantime, your physician can prescribe eyedrops which will partially elevate the lid for a few hours at a time.  However, the use of drops does not have any effect on the clearance of the Botox or the effect on the drooping.  Best wishes.

Aldo Guerra, MD · Answer

Hello Lina. I'm sorry to hear about your dropped eyelid. This is a risk of Botox that can occur even in the most experienced hands. In fact, it is the most common Botox complication. You need to contact your injector to be examined and they can write a prescription for you.The medication most commonly recommended is, Iopidine, AKA Aproclinidine which is an alpha adrenergic agonist which will cause a muscle in your eyelid to contract and "lift" some of the droop.  This medication is used to lower intraocular pressure in patients with glaucoma. It must used carefully because of potential side effects.Be sure to let your injector know or see an eye specialist. Best wishes, Dr. ALDO :)

Michael H. Gold, MD · Answer

Thanks for the question and the photo and we are all so sorry that you are having this post your Botox injection.  You are having ptosis, and it is related to diffusion of the Botox down toward your eye area.  It is an uncommon side effect but does occur even with the most experienced injectors.  The use of iodipine eye drops can help some, but will not make things go away until the effects of the Botox resolves – which can be 3-4 months.  Work with your provider and make sure you are using the eye drops and hopefully this will resolve sooner than later.

Hardik Soni, MD · Answer

Thank you for your question. Eyelid ptosis is a very rare complication of Botox. Unfortunately, there is nothing can really be done other than waiting till the Botox wears off. You can try Iopidine eye drops, this helps keep the eyelid open. You can expect to see improvement as soon as 4-6 weeks after injection, however it can take 3-4 months to completely resolve. I recommend having making this known to injector so this can be avoided in the future and to determine the best treatment for you. Best of Luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Unfortunately you are experiencing a known side-effect of Botox injections - sometimes Botox can drift from the eyebrows and affect the muscles that control the eyelids, resulting in eyelid droop.  There is no treatment that will fully correct this - the effects of the Botox will take several weeks, or possibly even a few months, to fade.  Until then, apraclonidine eye drops can help raise the eyelid by a few millimeters, however the will not fully reverse the effects of the Botox.  Antibiotics will not help in this situation.

Kenne Ogunmakin, MD · Answer

I am sorry to hear about your experience. Unfortunately, antibiotics will not help with this complication. There are some eyedrops that can help improve your droopy eyelid. Please follow with a board certified dermatologist to discuss treatment. You may also need to follow with an ophthalmologist as the drooping is quite severe. In the future, make sure you are following with a highly trained and experienced injector such as a board certified dermatologist or plastic surgeon. I wish you all the best.

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

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