Sagging Lower Eyelids After Botox

Aggressive injection of neuromuscular blockers in the cheek, usually for undesirable "smile lines", can cause sagging of the lower lids, even the inability to smile or an asymmetrical smile.  These changes are usually temporary and should resove in a few weeks to months.  In the meantime, I suggest you consider warm compresses to increase the bloodflow, facial smile exercises, and even direct muscular stimulation by tapping over the cheek and cheekbone to keep your muscles toned.  You may even consider looking into the facial Yoga programs available.   But don't overdo it, you may end up with more of those dreaded "smile lines" when its all over.

Botox injected into the lower lid area can cause diminished lower lid tone and lead to the appearance of "sagging lower lids". Botox is wonderful for crow's feet but care must be taken when injected into the lower lid. Patient selection is critical when performing these injections.

The good news is the effects of botox are reversible and this will resolve on its own. inform your doctor of your result and avoid future injections in this area.

good luck