Can Too Much Saline (Not Enough Botox) Leak into the Upper Eyelid? If So, Will the Puffiness Go Away?

Question

Ron Shelton, MD · Answer

This may be a droop of the lower forehead which helps the eyebrows sag and in turn, push down on the skin of the upper eyelid making it look puffy. It may not be the fluid of the Botox injection that is causing a swelling or puffiness. Your doctor can evaluate this during an examination.

Melissa Chiang, MD, FAAD · Answer

The puffiness of your upper eyelids is probably due to 

	1) botox paralyzing the forehead and causing your brows to drop.  This lessens the distance between your brow and your upper eyelid.  This can result in a smooth forehead and droopy/puffy eyelids.  This may last until the botox wears off (3-4 months)

	 

	OR

	 

	2) botox decreasing the movement of the eye muscles.  The decreased movement can cause fluid retention.  This usually resolves after several days/weeks.

Mark Taylor, MD · Answer

If you eyelids look puffy and droopy weeks or months after Botox, this is not a saline effect, but rather a Botox effect on the muscles that raise your eyelids or eyebrows.  It should wear off within a few weeks or months.  Let you doctor know of the complication and he/she can adjust your next treatment to avoid this issue.

F. Victor Rueckl, MD (in memoriam) · Answer

Once constituted, Botox is a single liquid. It isn't partially Botox and partially saline, so if you have puffiness in the upper eyelid, it's the Botox, not just saline. Regardless, Botox is temporary and this will wear off over time, but it can take 3-4 months for Botox to fully dissipate.

Can Too Much Saline (Not Enough Botox) Leak into the Upper Eyelid? If So, Will the Puffiness Go Away?

Answers (4)

Answer: Puffiness in upper eyelid from Botox

Answer: Puffiness in upper eyelid from Botox

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Everything you need to know about Botox

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Can Too Much Saline (Not Enough Botox) Leak into the Upper Eyelid? If So, Will the Puffiness Go Away?

Answers (4)

Answer: Puffiness in upper eyelid from Botox

Answer: Puffiness in upper eyelid from Botox

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.