BOTOX GONE WRONG, WHAT CAN I DO TO MAKE IT RIGHT? 1 month post op. (photo)

Question

Hi - The dr put botox around both eyes to stop right eye being so droopy but it's made it even more droppy and now the eyeball on show is tiny. Even my hairdresser noticed and thought I'd inflammed one eye. Had it on 21 Sept and then top up on 5 October. Since the 5th Oct it's got worse. I can not move my forehead naturally, so what can I do to get this sorted back to not looking smaller? Forcefully push it up? I can't wait 2 more months looking like this

Robert M. Tornambe, MD · Answer

So sorry you are having this problem!  Unfortunately, this is a rare, but documented complication which can happen after Botox treatment.  There are eye drops that are temporary, but effective.  Be sure to consult with a board certified plastic surgeon or dermatologist.  Good luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you do have ptosis of your upper lid, the lopidine eye drops can be used to help with this. I recommend
that you maintain close follow-up with your surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Daniel Thomas, MD · Answer

With what you mention in your history and on examining your photo, it appears one of two things could be going on. Either the injection was a little too close to your frontalis muscle (the muscle which raises your eyebrows); or the Botox tracked down a boney notch of your forehead under the eyebrow to your levator muscle of the eyelid (we all have this notch area; it is relatively easy to feel). The frontalis muscle problem just needs time to go away because unfortunately there is no reversal agent available (three to four months). The notch issue described in the second scenario can be treated with Iopidine drops prescribed by your physician. I hope this has been helpful. Best regards.

Richard Baxter, MD · Answer

It is not possible to say much about your specific case without knowing the exact doses and placement, and what your pre-treatment appearance was. However, keep in mind that Botox relaxes muscles, so if it was placed into the forehead the expected result is brow drop. In the crow's feet area, the effect is the opposite because this is a muscle that pulls the brow down, so relaxing allows the forehead muscle to pull up unopposed. The problem with trying to treat at this point is that the Botox you might have now to balance things out will still be in effect after the previous treatments have worn off.

Stephanie Olivier, MD, FRCSC · Answer

hi there
Thanks for your question. It look likes that you eyelid droop and eyebrow too. You should ask you doctor to get the Eye drops iodipine to try reverse the botox effect. And i will suggest to get hydratating tears droop too
Dr Stephanie Olivier MD, FRCSC

Rekha Tailor, MBChB · Answer

Sorry that you are having a problem. You have ptosis / drooping of the upper eyelid. This is a rare complication following Botox treatment. Iopidine eye drops can help with this problem. Hopefully, this will settle down quickly. 
Please see your practitioner and good luck.

Patrick Flaharty, MD FAACS · Answer

The good news is that this will resolve on its own over the next few months. Unfortunately there is no known way to get the Botox to resolve quicker. Your only short term option would be to use some additional Botox weaken the left side of your forehead to better match the right side. You can discuss this with your treating physician.

Marek Kacki, MD · Answer

As pointed our below by Dr. Grossman, it appears you have a skeletal asymmetry that may be more visible with some Botox effect. This  asymmetry, found to be the most common variant, was first reported in 1903 by French ophthalmologist R. Liebreich after close examination of thousands of skulls. It is extremely common to miss a minor asymmetry even in your own face; this is explainable by the principles of visual perception. It becomes obvious only when some additional factor is present and draws our attention to that side.If you have a true ptosis after Botox injection, the Iodine eye drops may be of help. Good luck!

Steven Wallach, MD · Answer

You are best to be seen in person.  If you have some ptosis of your upper lid then there are several different eye drops that can be used to lift the one eyelid a bit and assist until the botox wears off.

Kevin Tehrani, MD, FACS · Answer

Sorry you’re having trouble, you would need to be evaluated with animation to see if anything can be corrected, but in general you cannot elevate the side that is not moving. Vitamin B6 and Iodipine are potential options. Occasionally minimal treatment of the better side is necessary to provide symmetry in the meantime. Please seek an expert injector for any of the above.

BOTOX GONE WRONG, WHAT CAN I DO TO MAKE IT RIGHT? 1 month post op. (photo)

Answers (13)

More Botox Questions

WE SEND PRETTY
EMAILS

Answers (13)

More Botox Questions

Linear bumps and red dots 6 days after injecting Botox in forehead, is that normal? (photos)

Can Botox cause your chin to go into a spasm like cramp randomly? I'm so terrified it's doing this (Photo)

Would Botox help my asymmetric eyebrows and give them a little lift? (Photos)

Platysmal Band injections and an extremely sore throat, is there a connection?

What treatment options are available to fix a downturned mouth? (Photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS