I Am Worried About Permanent Ptosis From Botox

Question

I received Botox on 1/18 & today 3/29, my eyelid is still drooping a bit...it hasn't returned to normal. Years ago I had blashoplasty (upper eyelid surgery) and I'm worried that maybe it won't return to normal. (ive gad botox many times since the eyelid surgery with no prob) B4pics were taken & I was symmetrical prior to the Botox. I saw an eye doctor afterwards to rule out any other eye issues. I have had dramatic improvement from the initial ptosis, but it is not back to normal & I'm worried.

Sam Speron, MD, FACS · Answer

Hi!

	Thank you for your question.

	I would not worry about permanent ptosis from the botox treatment. The
	effects of botox are not permanent and should be completely gone from
	3-6 months after the treatment. I would suggest consulting with your
	board certified plastic surgeon.

	Good luck!

	Dr. Sam Speron

Jerome Edelstein, MD · Answer

The results of Botox wear off in about 4 months or so, and by this time your ptosis should wear off as well. I'm sorry to hear about your experience but rest assured you'll look better in a month or so.

Ron Shelton, MD · Answer

AFter three to four months there should not be any permanent ptosis after botox. I am not aware of any reports showing long term ptosis; once the Botox wears off there should not be permanent muscle weakness.

Jason E. Leedy, MD · Answer

Botox typically lasts only 3 months. It is not permanent. Any effect on the muscles will wear off after 3 months. Sometimes there can be unrecognized pre-treatment eyelid ptosis which will persist after Botox wears off but Botox will not cause permanent changes.

Kenneth D. Steinsapir, MD · Answer

In every case, the ptosis fully resolved even it persisted for many months. However, in a few people it was clear that they had ptosis before the botox treatment and did not pay attention to the ptosis. We know this by studying the before and after photos. If you had ptosis before botox, do not expect the eyelid position to resolve to a position that is higher than it was before the botox treatment.

I Am Worried About Permanent Ptosis From Botox

Answers (10)