Folds in my eyelid after Botox! Is it 'botched'? (photos)

Question

I had Botox to lift the brows almost 2 weeks ago as I had uneven brows. Although my brows are now even I've been left with a fold of skin lower than the crease of my eyelid. I've always had somewhat hooded eyes but it seems to have dropped below where it used to be and has become more of a skin fold. The Dr that injected me says she can't see a difference but will try lift my brows further if I'm unhappy! Am I just asking for more issues!?

Yannis Alexandrides, MD, FACS · Answer

Botox can correct asymmetry of the eyebrows providing it is administered correctly by an experienced practitioner. Whilst your asymmetry has been rectified, this has weakened the overactive muscle which once held up the skin on the eye. Now that this muscle has relaxed, your eyelids have ever-so-slightly lowered. This is probably unnoticeable to other people, but it may affect you. Unfortunately, it seems as though in your case it depends on whether you would prefer the asymmetry or the looser skin, as you may not be able to achieve both. If you wish for the effects to wear off, Iopidine eye drops will be helpful but you may also find that additional Botox can be used to lift both the eyebrows back up and can work to raise the brow and the eyelid. Please ensure you visit a practitioner with plenty of experience in this technique if you decide to try this. Alternatively, the Botox will wear off naturally within 3-6 months.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question klr2303. I understand your concern. Botox is a purified protein used to address wrinkles associated with
facial expression. It is difficult to make an assessment from these photographs because the lighting and angles are not consistent. However if eyelids are droopy after a Botox treatment it can be treated with apraclonidine 0.5% ophthalmic solution. Please consult with a doctor for specific recommendations. Good luck!

Sean Doherty, MD, FACS · Answer

What you are describing is a normal result. Based on your photos, you look good. I would not advise you to get any more Botox. Best of luck.

Leonard Grossman, MD · Answer

if one tries to lower an eyebrow to create more symmetry there's always some compromise that has to take place. In your case as the Brow Comes Down The eyelid will appear to be lower and that is a normal response to a proper treatment. Good luck from New York City

Folds in my eyelid after Botox! Is it 'botched'? (photos)

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Folds in my eyelid after Botox! Is it 'botched'? (photos)

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