Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection. (photo)

Question

I am 56 days past having my forehead only treated with 21 units of botox. I am horribly disfigured and have shown absolutely NO signs of improvment. I am terrified that botox has caused permanent disfigurement to my face :(. My eyes are so swollen, full, heavy, and UGLY. I have seen a plastic surgeon for a second opinion & he suggested painful, expensive, surgery. I am devestated. I am only 28 years old Please look at my before/after pictures and tell me your thoughts. Your time is appreciated.

Dana Goldberg, MD · Answer

Any problems from Botox will definitely wear off gradually starting 2-3 months after injection, so never consider surgery until it's completely worn off. You may be unwilling to try Botox again (at least for a while), but a smaller amount or a different injector may produce a very different result.

Ron Shelton, MD · Answer

Depending on which muscles are treated with Botox in the forehead, there could be a relaxation of those that help keep the eyebrows in a normal arched position. When the lower forehead sags because the frontalis muscles is not contracting, the eyebrows fall down and with it, compress the upper eyelid skin to make it look puffy. Usually this is not fluid retention. Botox wears off between three to four months. No surgeon should operate as this should only be temporary and it should resolve itself in another 4 - 8 weeks, doubtfully more.  

	The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Sam Naficy, MD, FACS · Answer

Without knowing exact placement of the Botox, it's difficult to determine whether or not you are having brow or eyelid ptosis and you didn't mention whether or not  the Botox is working to keep your forehead relaxed. If it's working, the treatment should wear off in three to three and a half months and you're experiencing some drooping of the brow and/or eyelids.

Steven H. Williams, MD · Answer

Thank you for your question.

	First of all, the effects of Botox and Dysport are temporary and generally wear off after 3-4 months so the symptoms you are experiencing related to your injections are temporary and you should begin to notice them wearing off in 4-8 weeks (maybe sooner).

	It is difficult to tell from your photos exactly what your anatomy is and what the exactly the change from before treatment is however, “fuller” upper eyelids can be a temporary side effect of paralyzing the muscle in the forehead that holds the eyebrows and upper eyelids up. When this muscle is relaxed the eyebrow position is lowered and the upper eyelids appear much heavier.

	The surgeon you visited may have recommended an upper eyelid reduction (blepharoplasty) or eyebrow lift but neither should be performed until after the effects of the Botox have worn off and your normal anatomy can be evaluated.

	I hope this helps.

Darryl J. Blinski, MD · Answer

Sorry for your ?BOTOX issues. Did you have a doc inject or a non doc? Are you sure you had BOTOX injected? Because I have NEVER seen long lasting orbital edema like this after BOTOX. Please respond so we can help and guide you.

Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection. (photo)

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Answer: Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection.

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Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection. (photo)

Answers (8)

Answer: Botox Effects Last 3-4 Months

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Answer: Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection.

Answer: Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection.

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Everything you need to know about Botox

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