POSTED UNDER Dysport Reviews
Dysport caused eyelid ptosis lasting more than 6 months so far
ORIGINAL POST
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.
Replies (6)
Ty very much for posting - I had Dysport administered by a dermatologist in Boston - I may edit & add her name in a future post but for now, will refrain. In any event, the doctor over administered Dysport into my forehead & my frown areas - to the point, where I now have extremely unnatural & ugly eyebrow droop - both sides. This was done approx 3 weeks ago & while I understand time is the healer, I’m furious this happened on many levels! One glaring mistake was the doctor administered Dysport without my consent & knowledge, as I understood I was receiving Botox - there were other mishaps, such as far too much injected - but suffice to say, the result is horrendous & as stated, I’m furious. So in respect to your post. I do hope your issue finally resolves, as I’m dreading thinking I will have to wait a year for this to go away
Thank you for sharing. I had xemoin done on my forehead, 11 lines, and crows feet in 2018. It caused permanent ptosis in my right eye. I hate it. Dr's and other medical so called professionals don't like to admit it can happen, but I'm proof. Hopefully yours goes away soon.
@agenia - Thanks for sharing your experience. This is what I'm scared of! It's now been exactly one year for me since the dysport injections, and my eyelid ptosis hasn't completely gone away. It's much better, but I can still feel and see the difference in my eyelid as the day progresses. It's perfect in the morning but by the end of the day it starts to drop a bit. Not as bad as it was 6 months ago so hopefully it will continue to get better. I'm getting very worried though that this is my new normal.
Hi! Just wanted to follow up on this and see how you're doing. I'm experiencing something similar myself and am also wondering if my ptosis is permanent - in my case, I'm getting more eyebrow ptosis resulting in lid ptosis.
Thanks !
Thanks !
It has now been almost 2 years since the dysport injections and I still have ptosis every evening. It's not noticeable to others but I can actually feel my left eyelid get weaker and it bothers me tremendously. I'm going to give it a few more months and then get some more opinions from occuloplastic surgeons about ptosis surgery. I fear that they will say there is not enough difference between the two eyes and then I will just have to live with this. We all know that paralyzing a muscle will cause that muscle to get weaker and even if the muscle function recovers, the muscle could remain weak. You only have to look at bells palsy patients to know this. Some of them never recover full function of the muscles that were paralyzed during the bells palsy episode.
Thank you for sharing your experience - I hope you see progress soon, and please feel free to reach out to the community anytime.