Puffy swollen eyelids that feel heavy and uncomfortable after Botox? (Photos)

It seems like the Botox is preventing you from lifting your brows well and this is giving you heavy eyelids. Many patients come in with over active frontalis muscle activity (forehead muscle) and desire Botox. The problem is that the reason they are overusing the muscle is to lift their heavy, low set brows or eyelids. When Botox is placed, their low brows and heavy eyelids look worse because they can't lift them. This will wear off over the next couple months, but I'd consider seeing a more experienced injector since adding more Botox higher up on your forehead, which is what they recommended, will NOT pull the eyelids up, it will only make them worse. I'm not sure why it is such a common mistake for injectors to try to lift brows by placing Botox above them. That will in no way ever lift a brow. Good luck.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa Aesthetic Centers

This can happen for a few weeks after botox injections. Puffiness and swelling of the eyelids can occur and should improve. You can try cold compresses and venus legacy treatments to improve.  Best, Dr. Emer.

Thank you for sharing your question and photographs.  When some patients have too much Botox placed into their forehead it may uncover some underlying sagging issues with either their eyebrows or upper eyelids.  Nothing replaces an in-person examination but as your brows appear to be above the level of your upper eye socket bone and you have excess skin of your upper eyes you may be a candidate for an upper eyelid lift.  This is best seen, however, once your Botox wears off.  Best wishes. 

The frontalis muscle i.e. forhead muscle is used to lift your eyelids and eyebrows. Botox works by the principle of temporarily paralyzing muscle activity, therefore your eyelids seem even heavier because your forehead muscles are weaker. It was mistake to get more Botox in the forehead since this would not lift your eyelids, instead it would enhance muscle paralysis and your eyelids would feel heavier. I would suggest you to wait it out, this should go away in few

The frontalis muscle i.e. forhead muscle is used to lift your eyelids and eyebrows. Botox works by the principle of temporarily paralyzing muscle activity, therefore your eyelids seem even heavier because your forehead muscles are weaker. It was mistake to get more Botox in the forehead since this would not lift your eyelids, instead it would enhance muscle paralysis and your eyelids would feel heavier. I would suggest you to wait it out, this should go away in few months. Next time when you decide to do Botox, please seek provider with more knowledge and experience. Good luck!