Is there a chance the Botox has spread from my forehead to my eyes?

I had botox to my forehead over 3 weeks ago and my left eyelid is still swollen. It's normal size in the morning and flares up in the afternoon. If so is this serious and why is it normal size in the morning and swollen in the afternoon? I also have a severe ear pain on the same side is this related?

Doctor Answers 4

Botox and swelling

Botox is great at freezing the lines in the upper forehead.  It is possible from your description that either too much Botox was injected or placed too low.  I would return to your treating physician for examination.

New York Dermatologist
5.0 out of 5 stars 76 reviews

Eyelid swelling from Botox

  • If this happens, I switch my patients to Xeomin -
  • The swelling and ear pain suggest an inflammatory or allergic reaction.
  • Xeomin has no protein, so such a reaction should not occur. 

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Botox Causing Swelling Around The Eyes

This is possible and sometimes requires massage, icing, or some oral steroids and/or oral diuretics to decrease the swelling.  It should resolve on its own after about 4 weeks.  You should inform the physician who treated you, as you may need less toxin and a slightly different injection pattern on the next treatment.  I wish you the best of luck, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

? Botox spreading to the eye

I have seen a few patients over the years get stubborn upper eyelid edema (swelling) after a Botox or other neurotoxin treatment, that may last up to a month.  Swelling near the site of injection is well recognized and listed as a side effect in the packages that accompany these neurotoxins.  I would recommend maybe requesting your Botox be placed slightly higher above the brow at next treatment, and try to prop up on extra pillows while sleeping to avoid fluid buildup overnight. 

As far as the ear pain, that would be unusual to be related to your Botox treatment, but I would recommend you see your primary care MD as soon as possible to get your ear examined.  Sometimes severe pain in the ear can be from an infection.

Karen Stolman, MD
Sandy Dermatologic Surgeon
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.