Botox droopy eyelid & eyebrow still there after 5 months (Photo)

Question

I’ve done botox 5 months ago and it resulted with a droopy eyelid (saggy skin above my eyes) and eyebrow, doctors told me that this would improve by time, but it didn’t. The side effect is still there and I’ve had a minimal change in movement but up till now I can’t fullly raise my brows. What should I do? (28 years old, 40 units on forehead and 11s + two more units to raise my droopy brow after 9 days of injection)

Kenneth D. Steinsapir, MD · Answer

I published a paper on persistent upper eyelid ptosis after botox treatment. In one case, the upper eyelid ptosis persisted for over a year. For this reason, I would counsel you to be patient before having further treatment. There is a bit of muscle retraining after getting a botox treatment and this may have something to do with the lingering effects of botox seen in some of these cases.

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Camille Cash, MD · Answer

I'm sorry to hear of the issues you've had since your Botox treatment.  There is no reversal agent for Botox.  Though the product effects typically last 3 to 4 months, it may be longer for some patients.  Hopefully you will  see improvement in the near future.

Botox droopy eyelid & eyebrow still there after 5 months (Photo)

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