Weak Eye Muscle - Will It Improve?

i had botox 4/10, within one week developed ptosis to rt lid-it has mostly resolved, but my rt lid still is very slightly lower on that iris and the muscle around the eye feels "different" almost weakened when i roll my eyes around in my head!!!! have i done serious or permanent damage?- my lid absolutey was not this way before! can the muscle stay weak for this long???

Doctor Answers 10

See an oculoplastic surgeon

The results of your treatment should have worn off by now so I suggest you visit an oculoplastic surgeon for an assessment. Best of luck.

Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Weak muscles can be the result of trauma during surgery or from swelling

Surgery around the eyes within the first few weeks can make the eye feel and move differently, and I wouldn’t be concerned about any permanent damage at this point. Weak muscles can be the result of trauma during surgery or from swelling, and this usually resolves on its own.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

Weak Eye Muscle after Botox

It is rare, but eye muscle weakness can occur after Botox injection. Like the improvement with Botox, this problem is temporary. If you had your injections in April,2010 the Botox hasno affect on muscle strength 10 months later. You should consult with an opthalmic plastic surgeon to diagnose the cause of your ptosis.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Botox does not cause long term weakness of the eyelid muscle

It is almost one year since your Botox. The effect has completely vanished from the injections. See an ophthalmologist to determine your anatomical situation and you may need a referral to a neuroophthalmologist or an oculoplastic surgeon as the weakness could be related to systemic disease unrelated to the prior Botox treatment. Of course, do not change your current situation by having more botox before you see the eye doctor as they need to evaluate your muscles while they are able to fully move.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Ptosis 10 Months After Botox Injections...Not Due to Botox

Hi Feme,

If your Botox was injected 4/10, the effect of Botox has long worn off.  You should consult with an oculoplastic surgeon for evaluation of your ptosis.  You may require surgical correction.  It is not related to Botox at this point.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Ptosis after botox

The good news is that the neurotoxin effects will wear off almost completely in 4 months. If it is after that, then you may be noticing a lid asymmetry that you have had- looking at old pictures will tell you if this is new. An oculoplastic surgeon can evaluate you further.

Purvisha Patel, MD
Germantown Dermatologist
5.0 out of 5 stars 4 reviews

Weak Eye Muscle from Botox

Fortunately or unfortunately, all effects from Botox are temporary and will return to normal after several months. So any undesirable side effects, if they are truly from Botox, are not permanent.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Lid Ptosis From Botox Will Improve

If the weakness of your lid is due to Botox, it will resolve completely.  If it has been more than a couple of months since your last treatment and you still notice asymmetry, it's probably not a result of the Botox.

James Bartels, MD
Manchester Facial Plastic Surgeon
4.7 out of 5 stars 12 reviews

Botox and eyelid ptosis

If eyelid ptosis occurs after the administration of Botox, this effect should not be permanent and typically resolves within 1 month.  If the problem persists for longer than 3-4 months, you may want to consult an oculoplastic surgeon for an evaluation.  Most people are inherently asymmetric so perhaps your right eyelid naturally sits a bit lower than your left.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Muscle weakness after Botox.

The good neews about Botox is that the effects you are seeing will gradually go away, usually in a few weeks, So don't worry.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 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.