My eyes are watery, swollen, teary. Feels like sand 3 weeks after Botox What do you think ?

Botox can weaken the muscles that control eyelid movement.  This can affect how the eye feels, watery, sandy, etc.  I would suggest seeing an ophthalomolgist to check your eyes.  And in the future considering different placement of the botox.

This is very unusual. Most likely you either have developed a droop in your lower eyelid or some weakness in upper eyelid closure. On the positive side these effects are temporary and natural tears and lubricants should be very helpful. Call your physician injector for specific recommendations. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

It sounds like you have some dry eyes issues from weaker eye closure which can happen after Botox injection. Best to see your ophthalmologist or oculoplastic specialist for evaluation. Use lubricating eye drops too.

Even if you had botox injections into the crow's feet area, unless the person who injected you had very little experience, it wold seem unlikely that your symptoms are related to the botox injection.  You were prescribed a medication known as Tobradex, which would not be my first suggestion given the symptoms you are having.  Perhaps you should have your PCP refer you to an ophthalmologist to have a proper eye exam.  Best of luck!

Dear tina117:Botox is a muscle
relaxer. When placed correctly, wonderful smoothening of wrinkle lines between
the brows or around the lateral eyes and eye brow elevation can be obtained.



While Botox may
also reduce gland secretion in other areas of the body such as sweating under
the arms, palms and soles, I find no evidence that it affects the oil or liquid
tear production of the eye.



Relaxation of the
muscles around the eye for cosmetic enhancement may lead to a poor blink
response, weakness in closure of the eyelids and therefore drying of the conjunctiva
causing the gritty or “sand-in-the-eye” sensation you describe. This may worsen
to include irritation of the eyelids edges, redness, eyelid swelling and even
corneal abrasion if they eyelids do not close properly.



It is probable
that you may have a sub-clinical dryness to begin with in the eye(s) which
did not bother you until the eyelid closure function was weakened to achieve a
cosmetic improvement.



You may allow it
to wear off but with a underlying dry eye problem, I recommend you contact a
Board Certified Ophthalmologist to evaluate your eyes and make recommendations
for wetting solutions and other options.



I wish you the
best!

Botox should not cause dry eye unless you developed a lower lid lag. Often lubricants or artificial tears can help.  Best of luck.

Your condition is difficult to pinpoint without an eye examination. I assume this is not an allergy attack or an infection which is unrelated to your Botox, you most likely have some eye dryness from reduced eyelid function from your injections. This will of course improve with time as the Botox effect wanes. Meanwhile make sure you keep your eyes lubricated with artificial tears, avoid air currents into your face (think car A/C, fan over your bed, etc.) I would consider high dose good quality Omega 3 oral supplementation also. Make sure however to follow your doctor's instructions.Good luck!

Unfortunately, Botox can worsen and cause dry eyes.  The wrinkles around the eyes are caused by the same muscles that close the eyes.  Therefore if you weaken the orbicularis muscle to improve the periocular wrinkles it will weaken blinking, which in some patients can cause irritation.  It will improve with time.  Artificial tears/gel or ointment can be helpful until it starts to improve.  Punctal plugs or cauterization can also be done by an eye doctor. It can sometimes take a few months.  Best regards.