I have lazy, weird eye after Botox. Any suggestions? (photos)

Question

I just had fillers in my cheek area and botox in my forehead , crowd feet and my eye area about a week ago. My left eye lid is droopy and my whole left eye just looks different and it looks like a lazy eye . How do I fix this , fast ??

Jason Emer, MD · Answer

It is very rare for botox to affect the inner eye muscles.  I think an in person examination is needed to see your eye in movement and with expression.  True rectus insuffeciencey, would make double vision and it difficult for you to see.  Mild lid ptosis maybe all you are noticing and this will get better in 3-6 weeks, although it will take 3-4 months for all the symptoms to resolve themselves.  Please spkae to your board cretified dermatologist/plastic surgeon if you are concerned. Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for your very good question. If the  Botox migrates from the area of injection to the upper eyelid, the lid will fall and look droopy. Fortunately, this is easily fixable with a drop of Apraclonidine. The drop can be used daily. Usually, the dropped eyelid resolves in 1 month. I hope you find this helpful.

John Mesa, MD · Answer

Eyelid ptosis  ("lazy upper eyelid") could happen after Botox treatment in the forehead or crows feet. If this is the case, these physical findings may persist until the effect of the Botox disappear ( 3 to 4 months). In these cases, an special eye drop that stimulates the elevation of the upper eyelids (apraclonidine) may be used to camouflage the Botox-related eyelid ptosis.  Patients with Botox-related eyelid ptosis should consult with their Botox injector to determine if they are candidates use of these special eyedrops to camouflage the ptosis

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  Unfortunately there is no quick fix for what you are experiencing.  Rather, you have to wait for the Botox to be metabolized which could take a few months.All the best,Dr. ResultsMiami, FL

Darryl J. Blinski, MD · Answer

The "drops" mentioned might improve slightly. But best to see a near-opthalmologist to examine the eyes function. Otherwise I hope the BOTOX metabolizes over the next few months...

I have lazy, weird eye after Botox. Any suggestions? (photos)

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Answer: I have lazy, weird eye after Botox. Any suggestions?

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I have lazy, weird eye after Botox. Any suggestions? (photos)

Answers (9)

Answer: Fix

Answer: Fix

Answer: I have lazy, weird eye after Botox. Any suggestions?

Answer: I have lazy, weird eye after Botox. Any suggestions?

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