A droopy eye-LID due to Botox can be treated with Apraclonidine eye-drops which can provide a small (2mm) improvement -- Apraclonidine 0.5, 1-2 drops, 3 times per day. Make sure you put in one drop at a time, tilt your head back, and close your eyes to make sure none of the eye-drop leaks out.Be sure your prescribing physician discusses all the potential side-effects of the drops, such as "adrenaline-like" symptoms like anxiety or heart pounding; you may also experience eye irritation, eye dryness, and eye pain, amongst other symptoms. If these symptoms occur, you will likely need to take some lubricating eye drops, lower the dose, switch the eye-drops, or stop the drops altogether...Good luck.
The lag lid that can sometimes follow Botox injection into the upper lid which paralyzes a muscle which should not be paralyzed, can be offset to some degree by stimulating muscle fibers in the lid mechanism which are not affect by the Botox.
It's not unusual for patients to request treatmentof transverse forehead wrinkles. These wrinkles are caused by contraction of the frontalismuscle which is an elevator of the brow. Unfortunately efforts to relaxthis muscle and diminish wrinkles can be accompanied by a lowered brow position.In some cases migration of botox can also result in paralysis of the uppereyelid muscles as well. This can cause a unilateral eyelid droop. These problems can becaused by both excessive botox and migration of botox. Both theeyelid and eyebrow can be affected. In most cases this resolves in two tothree months following injection without treatment. Several options exist for patientswho are unwilling to wait for spontaneous resolution of these problems. Whenbrow descent has occurred following paralysis of the frontalis muscles, it may be possible to treat the depresser muscles of thebrow with botox. Under these circumstances, elevation of the brow mayoccur. When botox injection results ineyelid drooping due to paralysis of the eyelid elevators, eye drops areavailable that partially reverse the phenomena. These include alphagen andlopidine. Both are associated with excellent clinical results andhigh levels of patient satisfaction.When this situation arises it's important to stay in closecontact with your provider.In some cases the best approach is tincture of time, while in other cases a more aggressiveapproach may be necessary.
