Can I get more Botox after it left me with a lazy eye?

If you had an eyelid droop from Botox you can have additional Botox treatments in the future. The eyelid droop is technique related but can happen in the hands of any injector. If you saw an inexperienced or untrained injector previously seek a second opinion. If you had an eyelid droop after being treated by an experienced physician injector (plastic surgeon or dermatologist) you're likely in good hands and should not experience this issue again. Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Although this is a known complication of Botox injections of the crows feet, it shouldn't happen. It is caused by the Botox leaking into the orbit and affecting the lateral rectus muscle, a muscle that pulls the eye to the side. Too much Botox was injected too close to the eye is the cause. You should be fine getting Botox, but from a different provider.

There are so many options when it comes to getting injectables these days.  Although these are regulated by the FDA and approved for physician use, state laws vary tremendously regarding cosmetic injectables and devices. My experience is that nurse-run clinics with limited physician oversight and generally zero oversight by someone who understands facial anatomy (dermatologic surgeon, plastic surgeon, oculoplastic surgeon).  Botox is incredible safe and tremendously consistent in results, but there are plenty of people who are taught to inject by another nurse or by a sales rep and aren't able to troubleshoot variable facial anatomy.  It sounds like your injection was likely not in the ideal location. I recommend a dermatologist or plastic surgeon for your next injection.  Good luck!

Since your Botox treatment was 2 weeks ago, you should be at the "full or maximal" effect of the Botox.   The effects will start to weaken at this point, although it will take 3-4 months for the Botox to completely wear off.  Since there aren't any photos, I can't tell what you mean by "left with a lazy eye."  If it means that your eyelid is drooping from unwanted diffusion of Botox to the levator muscle of your eyelid, then you can use apraclonidine drops to help with lifting your eyelid.  If it is your eyebrow that is drooping, then you will probably just need to give it time for the Botox to wear off.  I would return to your injector, have them take photos, and then compare your pre and post procedure photos to determine what is your best option.  

The drooping does not occur very often and even though it did occur in you it does not mean it will again so you can go ahead and get it again. Just be sure you discuss with the doctor your concerns and be sure you are seeing a board certified dermatologist or plastic surgeon

Thanks for your question.  Without photos this is hard to assess, but I am assuming you developed eyelid drooping after Botox.  If that is the case then adjustments can likely be made in the future to prevent this from happening again.  I wouldn't get anymore injected, though, until the initial results have worn off. Best of luck to you!

Hello Foik,I would recommend you follow up with your injector to evaluate the result.  Depending on what you mean by a mess will determine whether it would be wise to inject more.  If you have a difference in the appearance between the two sides of your face then Botox may be of benefit.  If you have a droopy eyelid or eyebrow or are developing double vision as a result of the injection then more Botox would not be of benefit.  I hope this helps and good luck. 

It's difficult to answer your question without more details, photos, or an in-person exam.  If you got a droppy eyelid (also called ptosis) from Botox, this resolves with time.  Special stimulating eye drops can help elevate the affected lid temporarily, but more Botox typically is not indicated.  More Botox may be necessary to correct asymmetries or for greater muscle relaxation where desired.  I think your best bet is to follow-up with your injector and discuss your concerns.  If you feel your concerns are not adequately addressed at this time, you may want to seek out a second opinion from another experienced Botox injector.  Good luck.

Since you've posted no pictures, its not possible for us to provide you with a relevant comment. If your face is a "mess" after Botox, its important to find out why this happened and it is usually an operator error and you may benefit from an inperson second opinion consult.

Hi foik,Since you may not be able to take a picture of the problem to show us because it is a dynamic (motion) problem, I suggest that you go back to your injector to see what can be done in order to improve the problem. obviously stay away from more Botox injections close to the eye that has already the lazy eye problem. Occasionally, Botox injections can leave a patient with some asymmetry that can be corrected with some more injections, this is usually due to injector error.Hope this helps,Dr. Gus Diaz