Sagging Lower Eyelids After Botox

Yes. You are using the circular eyelid muscle to help keep the lower eyelid in position and the cheek muscles help support it as well so if there is a combination of weakening in both of these muscles, then you may notice some sagging of the lower eyelid skin. It is not permanent and will return to baseline after the botox wears off. The lateral cheek area is an area that is to be respected in terms of botox injections.

Botox injected too close to the edge of the eyelid can cause the circular muscle around the eye to relax causing this portion of the eyelid to also relax and it may appear as if the eyelid is droopy.  This is a temporary effect and will improve as the Botox wears off.  This same injections are performed in individuals who have small eyes to enlarge them.  In any case, let your surgeon know what happened and to avoid this area in the future.

Botox does not necessarily have the same distribution each time it is injected. This may account for the differences seen from one injection to the next, Botox will weaken the sphincter action of the orbicularis oculi which may produce some weakness in the lower eyelid when injected into the crow's feet area. T

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