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Dysport Caused Eyelid Ptosis Lasting More Than 6 Months So Far
I had dysport injected into the wrinkles around my eyes (orbicularis oculi muscle). Dysport was injected to the crows feet, to the wrinkles under my brows in the upper eyelid area, and below my eyes. In the past, I had botox
to this area many times with no adverse side effects. I'm now aware that dysyport can migrate to adjacent muscles more easily than botox. The wrinkles below my brows are close to the levator palpebrae superioris (muscle which lifts the eyelid), so obviously the dysport affected this muscle.
I want to share my experience because it has been agonizing and there is a lot of misinformation out there about this. Most of my research online resulted in claims from doctors and neurotoxin distributors that eyelid ptosis as a result of dysport or botox only lasts a few weeks, or a few months at most. But mine has lasted much longer. It's been 6 months and the ptosis is still happening daily.
In the morning when I wake up, my eyelids look even. As the day drags on, maybe 3 - 4 hours later, my left eyelid starts drooping and the left eyebrow raises to try to compensate and lift up the eyelid. Meanwhile, my right eyebrow drops and that eyelid raises. So my eyes end up looking asymmetric.
At first, I didn't realize it was ptosis from the dysport. I saw a plastic surgeon, neurologist and occuloplastic surgeon. The plastic surgeon thought my asymmetric eyebrows were the cause and thought I needed a brow lift on the low brow. Thankfully, I knew there was something else going on.
Next I had an apt. with a medspa and requested upneeq, an eyedrop which raises your eyelid by 1-2 mm. The first time I used the drop, my eyelid shot way up and looked like I had thyroid eye disease. So I developed a method of putting the drop on the back of my hand and diluting it with regular wetting eye drops & then slightly dipping my left eye into the new formula. This worked successfully for about 5 months, during which I used it every day. It also made the drops last much longer. Eventually, the left eye developed rebound redness and punctate keratitis so I had to stop using it.
The neurologist did several tests for myasthenia gravis, a neurological condition which botox/dysport to the eyelid levator muscle mimics. The antibody tests for myasthenia gravis were negative. I also had an mri of my brain to check for stroke or some other cause. The mri came back normal.
The occuloplastic surgeon said my degree of ptosis was not big enough to warrant surgery. The difference between the opening of my two lids was not different enough. This really means that the common surgery (Muller's Muscle Conjunctival Resection) is not precise enough to make the two lids identical.
Today I asked a plastic surgeon who has seen many cases of eyelid ptosis from botox/dysport if it's possible it could more than 6 months. He confirmed my suspicions and said in some patients it can last a year.
My ptosis is not quite as severe as when I first had it done, so I'm hopeful that I just need to wait it out for more months. I'm disappointed that I had to discontinue upneeq, but I have found that taking an oral allergy med with pseudoephedrine like Zyrtec D has the same effect as upneeq and fixes my ptosis.
I hope someone out there will benefit from my research because it's been very scary not knowing if this eyelid ptosis is something permanent.
to this area many times with no adverse side effects. I'm now aware that dysyport can migrate to adjacent muscles more easily than botox. The wrinkles below my brows are close to the levator palpebrae superioris (muscle which lifts the eyelid), so obviously the dysport affected this muscle.
I want to share my experience because it has been agonizing and there is a lot of misinformation out there about this. Most of my research online resulted in claims from doctors and neurotoxin distributors that eyelid ptosis as a result of dysport or botox only lasts a few weeks, or a few months at most. But mine has lasted much longer. It's been 6 months and the ptosis is still happening daily.
In the morning when I wake up, my eyelids look even. As the day drags on, maybe 3 - 4 hours later, my left eyelid starts drooping and the left eyebrow raises to try to compensate and lift up the eyelid. Meanwhile, my right eyebrow drops and that eyelid raises. So my eyes end up looking asymmetric.
At first, I didn't realize it was ptosis from the dysport. I saw a plastic surgeon, neurologist and occuloplastic surgeon. The plastic surgeon thought my asymmetric eyebrows were the cause and thought I needed a brow lift on the low brow. Thankfully, I knew there was something else going on.
Next I had an apt. with a medspa and requested upneeq, an eyedrop which raises your eyelid by 1-2 mm. The first time I used the drop, my eyelid shot way up and looked like I had thyroid eye disease. So I developed a method of putting the drop on the back of my hand and diluting it with regular wetting eye drops & then slightly dipping my left eye into the new formula. This worked successfully for about 5 months, during which I used it every day. It also made the drops last much longer. Eventually, the left eye developed rebound redness and punctate keratitis so I had to stop using it.
The neurologist did several tests for myasthenia gravis, a neurological condition which botox/dysport to the eyelid levator muscle mimics. The antibody tests for myasthenia gravis were negative. I also had an mri of my brain to check for stroke or some other cause. The mri came back normal.
The occuloplastic surgeon said my degree of ptosis was not big enough to warrant surgery. The difference between the opening of my two lids was not different enough. This really means that the common surgery (Muller's Muscle Conjunctival Resection) is not precise enough to make the two lids identical.
Today I asked a plastic surgeon who has seen many cases of eyelid ptosis from botox/dysport if it's possible it could more than 6 months. He confirmed my suspicions and said in some patients it can last a year.
My ptosis is not quite as severe as when I first had it done, so I'm hopeful that I just need to wait it out for more months. I'm disappointed that I had to discontinue upneeq, but I have found that taking an oral allergy med with pseudoephedrine like Zyrtec D has the same effect as upneeq and fixes my ptosis.
I hope someone out there will benefit from my research because it's been very scary not knowing if this eyelid ptosis is something permanent.