Can hooded eyes from Dysport be corrected naturally? (photos)

Question

I am a 30f had Dysport 9/15/15 and now my eyes seems to droop and look hooded somehow? This is so uncomfortable it feels like lightening bolts and twitches occasionally over my left eye! What can I do? I barely recognize myself!

Kenneth D. Steinsapir, MD · Answer

The dysport does wear off.  Eventually the muscle state does return to normal.  However this can be speeded up by imposing a correct treatment on the muscles.  I recommend you search on microdroplet botulinum toxin.  This is a patented method of treating just the eyebrow depressors and it leaves the frontalis muscle untreated.  It seems to help with this transition.

Jason Emer, MD · Answer

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

John Bitner, MD · Answer

I think what happened is that too much of you forehead was paralyzed, causing your brows to drop.  I typically use between 45 and 60 units of Dysport in the forehead and stay at least 2 finger breadths away from the lateral brow, you can get closer to the medial brow.  This usually prevents brow drop and maintains some expressivity to the upper part of your face while eliminating most of the wrinkles.  You probably have minimal to no movement of your brows, right?  I'm sorry to say but there is not much you can do.  It takes about 3 months to wear off completely and will then return to normal.  It will usually gradually improve before the muscles start working fully.

Hannah Vargas, MD · Answer

It is always best to follow up with the provider who injected the area to discuss what you do and don't like so they can make notes for next time.  Unfortunately, there is nothing that can be done to reverse the injections, but the good news is it will wear off on its own in 3-4 months.

Suneel Chilukuri, MD · Answer

Unfortunately, your physician may have over-treated your forehead (frontalis) muscle.   This broad muscle is used to "lift" the eyebrows.  To provide a lift, your physician needs to treat the depressor muscles.  While the Dysport will loose effectiveness over three to four months, you may find relief by utilizing a radiofrequency device (such as Pelleve) or an ultrasound device (such as Ultherapy) to provide some immediate relief of your eyelid hooding.  Best of luck,Suneel Chilukuri, M.D.Houston, TX

George S. Miguel, DO · Answer

Hang in there, Dysport does wear off. It typically can take up to two weeks post injection but unfortunately nothing there to reverse it. Ask next time how many units they are going to use. typical full strength dose on average is about 50 units/site (meaning each site consisting of forehead, brow, and around the eyes). Good luck! -Dr. Miguel

David P. Rapaport, MD, FACS · Answer

Hooding after your treatment is a result of over-treatment with Dysport. Unfortunately nothing can reverse this effect but Dysport does eventually wear away. You should notice it get better with each week. I recommend you return to your dysport provider to let them know the effect you experienced so that they may treat with less product in the future. Best of luck!

Can hooded eyes from Dysport be corrected naturally? (photos)

Answers (7)

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