Botox and droopy eyelid

I was given 20 units of Botox in my forehead and the 11 area. Four to five days later I noticed the eyelid droop. My right eye is worse then my left eye. It kind of seems like the 11 area has dropped so my eyes look weird. My eyebrows are also arched too much for my face. I'm so scared to do anything else because it might look worse. I like more of a natural face. How long will this last? Thank you for any help you can give me.

If this is your first time getting Botox, or if it's the first time your current doctor has given you Botox, you should consider returning to your doctor for evaluation. Although it's true that there's no antidote to Botox, sometimes this is a problem with imbalance of the different sets of muscles on the forehead. In those cases, it can be easily treated with some additional Botox to balance things out. In other cases, the issue is that Botox may have actually migrated over to your eyelid muscles. This is very uncommon in experienced hands. Still, it's best to have it looked at. Regardless, the great news is that nothing with Botox is permanent. The strongest effect is in the 2-4 weeks range (right about now for you), after which it starts to dissipate until the 3-4 months time point.

Reza Momeni MD, FACS
Reza Momeni MD, FACS
1 Diamond Hill RdBerkeley HeightsNJ07922US

Reza Momeni MD, FACS

1 Diamond Hill Road, Berkeley Heights, NJ,
07922, US

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Unfortunately drooping eyelids can result after Botox injection. However the Botox does not cause the droopy eyelids but the injection across the forehead prevents elevation of the forehead. Some patients unknowing elevate their forehead to see better and which minimizing the drooping of the upper lids. When the forehead can no longer elevate (due to Botox) the droopiness of the upper lids is more apparent. Usually this effect wears off after several weeks but can last 2-3 months. Be sure to inform the injector of the results at your next treatment as the injection sites/amount used will need to be modified to prevent this from happening again.

Dr. Luong

Jacqueline A. Luong MD
Jacqueline A. Luong MD
6545 France Ave SEdinaMN55435US

Jacqueline A. Luong MD

6545 France Avenue S., Suite 350, Edina, MN,
55435, US

Sorry to hear about your situation.

When patients get a droopy eyelid from botox, it usually begins about 1-3 weeks after the injection and lasts about 2-3 weeks on average.

Also.... It sounds like you had the middle portion of your forehead injected as well. This will make the medial part of your brows droop (the 11 area) and give you a more dramatic arch to your bros. This is one of the reasons why I recommend against forehead injections to all of my patients. This will probably last about 2-3 months.

Daniel Markmann MD
Daniel Markmann MD
9171 Baltimore National PikeEllicott CityMD21042US

Daniel Markmann MD

9171 Baltimore National Pike, Suite 205,
Ellicott City, MD, 21042, US

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There is provably little that can be done unless the droop is purely of the eyelid, and your description does not sound like this is the case. If so, the only thing you can do is wait until the Botox wears off. At only 20 units for both areas, this should happen in around 3 months. I would, however, let your injector know what happened and, perhaps, go for an exam to make sure that nothing can be done. You did not say who your injector was. Though the problem you mention can happen to anyone, those of us with significant experience do everything we can to try and make sure it doesn't. (See ExpertInjector.org)

Robert T. Buchanan MD
Robert T. Buchanan MD
209 Hospital DrHighlandsNC28741US

Robert T. Buchanan MD

209 Hospital Drive, Suite 202, Highlands,
NC, 28741, US

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