My doctor says drooping eyelid 4 days after Botox is not due to Botox leaking into muscle. What do you think? (Photo)

Unless you had a ptosis prior to injection, which your Physician would most likely have pointed out, this ptosis is probably related to the Botox treatment. This finding is usually short lived and can be counteracted on a short term basis by use of Iopidine drops.

I would return to the doctor and have him review the before photos to do a comparison.   From the photo - it looks markedly assymmetric.   Botox can cause a ptosis if placed in the wrong area and that will take 3-4 months for it to resolve.  Iopidine eye drops can help with the appearance but the reassuring fact is that this is temporary.   If the doctor did not take before photos - then that is his fault. You know your face best and if you are not satisfied with the treatment - you should let him know and see how he responds.   In our practice - we would issue you a refund.   No questions asked.

Thank you for sharing your question and photograph.  Unfortunately I do think your current result is due to the Botox which will need to completely wear off before your appearance and eye function will be restored.  The droop can be mitigated somewhat with the use of prescription eye drops so you may wish to discuss this with your injector. 

I don't know the details of your injection (dose, placement, etc.), However, this is most likely due to the Botox. Things will go back to normal once the Botox wears off in 2-4 months. Eyedrops may help temporary, but they don't always work. Make sure you find an experienced injector next time. Best wishes.

I'm sorry to hear you had an adverse event with your Botox treatment. Unfortunately, sometimes you get an adverse event happen even when your doctor does everything right and you follow perfect post procedure instructions.` It may just be bad luck. A much smaller dose of Botox will effect the small muscle that raises your eyelid, and therefore will be effected earlier. Your other muscles probably have not yet responded to the Botox 4 days post treatment. The good news is, that this is temporary and will resolve after a few weeks. Using specially prescribed drops will help to resolve this problem faster. 
I wish you speedy recovery and I hope I addressed your question.
Sincerely,
Olga Bachilo, MD

Hello.
Unfortunately, unless the ptosis of the left eyelid existed prior to the Botox injections, the picture you have provided is highly suggestive of ptosis from the Botox injections. As you know, Botox can last up to 4 month, but starting Iopidine eye drops can help to give you up to 2 mm elevation of the left eyelid. Eyelid ptosis is a know complication of Botox injection around the eyes and commencement of treatment with Iopidine will likely be your best option.
All the best,
MS

Unfortunately, I do believe the eyelid ptosis is related to your recent Botox treatment. Although eyelid ptosis (droopiness) is much less common then eyebrow ptosis after Botox treatment, it does happen. Unfortunately, you will need to wait for the Botox to wear off before your eyelids return to their normal position. A prescription eyedrop may help. The Botox can diffuse (spread) into the eyelid raising muscle if it is placed too close to the eyebrow.

Thank you for your post. If your Dysport/Botox/neurotoxin is injected too close to the wrong portions of the peri-ocular musculature, or if you have a low brow to start with it, unwanted side effects can happen after your injections begin to kick in after about 4-7 days. The Botox can drift into unintended areas and cause "eye droop" or eyebrow drop. Still it is best to follow up with your injector and discuss your concerns as you may have to wait it out or be given a Rx for eyedrops which can help reverse the adverse effects. Always see an experienced, Board Certified injector for the best results.Sincerely,Dr. Benjamin J. Cousins MDBoard Certified Plastic Surgeon

If you did not have drooping prior to the Botox injection and you do have it after then it is most likely due to the Botox injection.  Iopidine eye drops will help elevate the lid and be sure you are seeing a board certified dermatologist

I am sorry you are having some unwanted problems with your first botox experience. Botox usually start to take effect three days after injection and will pick in two to three weeks. It is my personal opinion, but I feel your are experiencing eye lid drooping secondary to Botox. The good news is the unwanted results will dissipate in few weeks.
Thanks.