My eyes look weird after 15 days after Botox, is there anything I can do? (photos)

Question

Had botox15 days ago and when I wake up I look awful. During the day it sometimes gets a little better but I feel like a meanderthal. Im guessing my foregead has "fallen" down?? Is there anything I can do? Thank you :) First photo is my eye before botox.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  When treating the horizontal wrinkles of the forehead it can limit the ability of one's eyebrows to elevate, and if this is a normal method of expression it can result in some sagging.  You may be able to improve this with additional botox along the upper crow's feet but ultimately may require the effects to wear off in 3-4 months.

Eric M. Joseph, MD · Answer

You appear to have experienced several millimeters of lowering of your left eyebrow after your Botox treatment. You may not have blepharoptosis, or a droopy eyelid. A droopy brow may be treated by paralyzing the upper eyelid muscles by the tail of your brow for a slight lift. Visit your surgeon for evaluation, and don't worry since the effects are completely temporary and may improve significantly over the next few weeks. Hope this helps. Dr Joseph

Michele S. Green, MD · Answer

It appears that your Botox was placed low in the forehead and has caused you to have a droop and has lowered your eyes.  This droop will resolve in a few months times.  Please consult an expert in Botox and correct placement to avoid these problems in the future. Best, Dr. Green

Anne Therese Stubbs, MD · Answer

The only muscle in the face that elevates the eyebrows is the forehead muscle (the frontalis), and if this has been relaxed completely by your Botox injections then your eyebrows will feel heavy and be lower.  There is nothing to do to reverse this but wait for the Botox to wear off in 3- 4 months.  The only thing that may help at this point, is to relax the muscles that naturally pull your eyebrows downward.  The muscles in between your eyebrow (the glabella) and the muscles at the outside edge of your eyebrow (the lateral brow depressor) pull the brow downward.  If these muscles were NOT treated in your original Botox visit, then return to your injector and have these areas treated. This may give you a bit of brow elevation while you wait for the Frontalis Botox to wear off.  In the future ask that your injector not treat the Frontalis, or at least not over your eyebrows.  Hope this helps.

Jean M. Casello, MD · Answer

This happens because the muscles that raise the eyebrows have been relaxed by the botox.  Unfortunately this can occur when botox is injected into the forehead muscles.  Sometimes injecting into the lateral edge of the brow may help to lift the eyes and sometimes eye drops will counteract the effects of the botox.  You should discuss this with your injector.  the good news is that it will eventually wear off in about 3-4 months.

Mira Mahajan, MD · Answer

Dear Beautyispersonal,
In these photos, it appears the placement of the Botox is causing brow ptosis- which one will have to let wear off and improve after a couple of weeks.  I would suggest your next Botox treatment, using less units and the placement be up higher in the forehead.

Steven Wallach, MD · Answer

The botox weakened the forehead muscles and now your eyebrow is lower.  It will take 4 months of so to go back to normal.

Wayne Wertheim, MD · Answer

it appears that you may have a slight drop in the brow and lid. this is not uncommon especially if you are new to Botox. Generally it starts to left back up after about 2 to 3 weeks and will continually get better over time and gone by about 3 months.

Onir Spiegel, DDS, PhD · Answer

"Droopy eye" is a known side effect to botulinum (Botox, Dysport and Xeomin) injections to the forehead.   It's best to stay mesial when injecting the forehead, especially the first few times to ensure this doesn't happen.   But,  even if you've been injected for years by the same doctor,  it can still happen.   It sometimes helps to inject botulinum in the lateral orbicularis muscles (crows feet). This can help raise the lateral aspect of your eye lead.   If you have an event and need your eyes wide open surgical glue can help keep them up for photos,  etc. The truth is,  not much can be done other than waiting the 3 months.   This too shall pass!

Darab Hormozi, MD · Answer

Botox or similar injections to forehead can effectively paralyze the forehead muscle and stop your ability to raise your eyebrows.  That can gave you exactly what you feel a heavy sagging eyebrow.  it will wear off as botox will wear off ( 3-4 months ).  In the future avoid injection in the forehead area.  A good injector should have told you about this side effect !!

My eyes look weird after 15 days after Botox, is there anything I can do? (photos)

Answers (10)

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