Why Have I Gotten Ptosis TWICE from Botox? Is It Me?

Drooping of the eyelid is one of the rare but potential side effects of Botox. It can occur even when very experienced injectors perform the treatment. However, experience and proper technique are essential to minimize the chances of eyelid ptosis occurring. In general, an eyelid ptosis will not occur if the injections are performed in the area of your crow's feet, unless they were unusually high. Fortunately, drooping of the eyelid following a Botox treatment is temporary. The issue will usually resolve in around two weeks, sometimes sooner depending on the patient. In the future, I would recommend discussing the history of your issue to the physician performing your injections. You are not necessarily a bad candidate, it is likely just a rare coincidence that ptosis occurred with consecutive treatments. Thank you, and I hope this helps!

Since your had great experiences with Botox in the past, it's not likely that you are a poor botox candidate. Did you had the same areas injected each time? Every physician has his or her own injection techniques. If you developed ptosis then it's typically an unintended muscle that was affected by the Botox. Go back to the physician who gave you great Botox experiences. There are significant anatomical variations among individual patients that even Botox injection requires skills, experiences and a thorough understanding of facial anatomy.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

It is unlikely that Botox injection in the crows feet would cause ptosis.  It is more likely that injection in the brow or forehead would cause eyelid ptosis (or unmask an underlying eyelid ptosis).  See an oculoplastic specialist for evaluation.