I have a lazy eye after Botox. How can I treat this?

Thank you for your question and for sharing your experience.

It is possible to develop temporary eye issues after Botox, particularly if the product diffuses near muscles around the eye that control movement. In rare cases, this can lead to symptoms like a "lazy eye" or what your doctor referred to as monofixation. Given that you also had a facelift, it's important to consider how healing tissues and muscle function might interact.

Typically, Botox-related side effects improve as the product wears off over 3–6 months. Since it has already been about three months for you, some improvement might still occur naturally, but I recommend a thorough evaluation by an oculoplastic surgeon or a neuro-ophthalmologist. They specialize in eye muscle function and can offer options such as temporary prism glasses, eye exercises, or other treatments depending on the severity.

When Botox causes noticeable changes around the eyes such as lid heaviness, it is typically a temporary side effect which can be cause by the placement or amount injected of the neurotoxin. True monofixation is not a common side effect of Botox injections. It may be best to follow up with your primary physician or optomologist to make sure these symptoms are not stemming from another medical and neurological issue.

Thank you for the question. It would be most helpful to review photographs of what you are describing or to examine you in person. What you are describing sounds like ptosis which can occur after Botox if it spreads beyond the intended injection site and temporarily paralyzes the levator palpebrae superioris muscle. I would recommend speaking with the provider who performed the Botox injection. They may recommend a trial of alpha adrenergic eye drops.