I went back to him and he acted like he has never seen this before. Now I am afraid to take amything he has prescribed because he obviously should have known about droopy and puffy eyelids after botox. This is a side effect and he said nothing about it. Should I see my eye doctor to get the drops or a regular doctor or go back to him and mention these eye drops I hear everyone talking about, or am I better off waiting till it wears off?
November 10, 2011
Answer: I am afraid your doctor is an idiot.
The Medrol dose pack will be a complete waste of money. It has absolutely no role in treating upper eyelid ptosis after BOTOX. The eye drop that can help is Iopodine or Aproclonidine ophthalmic drops. I recommend a one week trial of these drops. If the eyelid positions improve on the drop, it suggests that the ptosis will resolve within a 6-8 week period. If the eyelid position does not improve at all during this week of trial, then is suggests the paralysis of the muscle responsible for raising the upper eyelids is more severe and can take 3-4 months to resolve and sometimes longer. During this time it is appropriate to try the drops one a week. As soon as they become effective, this foretells a 6-8 week time frame for resolution. During the 6-8 week period regular use of the drops will help keep the eyes open. I suggest seeing an oculoplastic surgeon for management of the ptosis. I am sorry you are experiencing this complication.
Helpful 1 person found this helpful
November 10, 2011
Answer: I am afraid your doctor is an idiot.
The Medrol dose pack will be a complete waste of money. It has absolutely no role in treating upper eyelid ptosis after BOTOX. The eye drop that can help is Iopodine or Aproclonidine ophthalmic drops. I recommend a one week trial of these drops. If the eyelid positions improve on the drop, it suggests that the ptosis will resolve within a 6-8 week period. If the eyelid position does not improve at all during this week of trial, then is suggests the paralysis of the muscle responsible for raising the upper eyelids is more severe and can take 3-4 months to resolve and sometimes longer. During this time it is appropriate to try the drops one a week. As soon as they become effective, this foretells a 6-8 week time frame for resolution. During the 6-8 week period regular use of the drops will help keep the eyes open. I suggest seeing an oculoplastic surgeon for management of the ptosis. I am sorry you are experiencing this complication.
Helpful 1 person found this helpful
November 28, 2011
Answer: Droopy eyelid treatment following Botox
Droopy eyelids following Botox treatment are often due to overtreatment of the frontalis, your forehead muscle. This muscle is responsible for keeping your brow (and upper eyelid) in proper position. If it is truly eyelid droopiness, prescription eyedrops (aproclonidine) can be prescribed. In my experience, oral steroids would not be first line treatment for your concern.
Helpful
November 28, 2011
Answer: Droopy eyelid treatment following Botox
Droopy eyelids following Botox treatment are often due to overtreatment of the frontalis, your forehead muscle. This muscle is responsible for keeping your brow (and upper eyelid) in proper position. If it is truly eyelid droopiness, prescription eyedrops (aproclonidine) can be prescribed. In my experience, oral steroids would not be first line treatment for your concern.
Helpful