Eyelid wrinkles after Botox - can anyone help? (Photo)

Question

Hello I have had temple filler and botox and botox for a brow lift. My eyelids became very wrinkled and loose skin more than before. I don’t want to leave the house ! What happened and can anyone help?

Anna Chacon, MD, FAAD · Answer

I can understand why this would be upsetting, especially when you feel that your eyelids look noticeably different from before your injections. What you are describing can happen after Botox, particularly when Botox is used around the forehead or to create a brow lift.

Botox temporarily relaxes specific muscles. When the muscles that normally help support and position the eyebrows are weakened, the brow can sometimes change position or the balance between the forehead and eyelid muscles can shift. This may make the upper eyelid skin look more folded, loose, or wrinkled than it did previously. It does not necessarily mean that you have suddenly developed permanent excess skin.

Temple filler itself would not typically cause eyelid wrinkles, although swelling or changes in surrounding facial contours can temporarily affect how the area looks.

The reassuring part is that Botox is temporary. As the effects gradually wear off and the muscles regain their normal activity, the brow and eyelid appearance often improve as well. This can take several weeks to a few months, depending on the amount of Botox used and the individual response.

I would not recommend trying to correct this with additional Botox right away, because adding more treatment before the current effects have worn off could potentially make the imbalance worse. If there is persistent true excess eyelid skin after the Botox has completely worn off, that is a separate issue and can be evaluated independently.

If you develop significant eyelid drooping that interferes with your vision, double vision, marked swelling, or other new eye symptoms, you should seek an in-person medical evaluation promptly.

For now, the most important thing is to give the Botox time to wear off. What you are seeing at this stage may be a temporary change in muscle balance rather than a permanent change to your eyelid skin.

Nuket Eroglu, MD · Answer

Hello; botox should be applied very carefully for patients; with lax eyelids. Your actual problem is; it happened that; the botox applied to the forehead area; was implemented too close to the eyebrows and caused for the eyebrows; falling down. Therefore, you feel your eyebrows very close to your eyes. As the botox affects begin to fade; this discomfort issue will disappear. I recommend for you; not to have botox again; without eyelid surgery. Folds on your eyelids are; very advanced level. That's why, for botox, in order to suit; firstly, you should get rid of from excess eyelids.

Camille Cash, MD · Answer

Depending on where the Botox was injected your brows may have dropped causing a heavier look to the upper eyelids.  This is temporary and will resolve as the Botox wears off.  As you have excess skin even without Botox you may consider an upper blepharoplasty.  This procedure removes the excess skin and gives a refreshed appearance to the eyes.  See a board certified plastic surgeon near you to learn more.

Cengizhan Ekizceli, MD · Answer

Hello, thank you for your question, we recommend upper eyelid blepharoplasty.
If you want to check the doctor's Instagram page, I added the link, you can take a look and have an idea about the surgery.
We can offer you a virtual consultation for a better evaluation, please send us your full name and phone number on our email: hi@estherianclinic.com. We will contact you as soon as possible.
Hope it helped!

Eyelid wrinkles after Botox - can anyone help? (Photo)

Answers (4)

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