Specifically, injections on the forehead or between the eyes may spread into the eyebrows and cause the brow to lower, causing a droopy eyelid. In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks.
Yes, Botox can cause droopy eyelids if it is injected in the wrong place or if too much is used. Because Botox is a muscle relaxing toxin, if it is injected into the muscles that hold the eyelids or eyebrows up, then this can cause the muscles that pull the eyelids down to be more emphasised.
The most common negative reaction to injections to your face is a droopy eyelid, also called ptosis or blepharoptosis. Most people don't have this problem. Around 5% of people who get Botox will have problems with eyelid droop. This number falls to less than 1% if a skilled doctor does the injection.
Anti Wrinkle injections have a long track record for treating forehead lines. However, your forehead & eyelids will feel heavy for a few weeks afterwards. Your eyebrows and eyelids may also appear a little puffy first thing in the morning upon awakening but don't worry this will settle down.
In most cases, swelling of any kind after botox treatment is normal and should subside within one to two days. However, there are rare cases where swelling (especially if accompanied by other symptoms like bruising, a droopy eyelid, or redness) may seem more concerning.
Between the eyes
Occasionally, some of the Botox seeps into the upper eyelid and paralyzes the levator palpebrae — the muscle that holds the upper eyelid up. If this muscle is paralyzed, the upper eyelid will droop.
Brows or eyelids that feel heavy after a Botox injection, having trouble to fully open the eyes, and droopy eyelids or brows — these are all signs of ptosis. Ptosis is when the eyelids or brows droop because of congenital muscle disorders, injury or trauma, age, and nerve and connection problems around the eyes.
Fortunately, droopy eyelids are always temporary and can be treated. Usually only a small amount of Botox reaches the muscle that raises your eyelid. Therefore, it will wear off faster than the usual three to four months that Botox lasts; typically two to four weeks, sometimes more sometimes less.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
One common treatment is an α2-adrenergic agonist ophthalmic eye drop, 0.5% apraclonidine. Another selective α2-adrenergic agent, brimonidine eye drop, is used as an alternative to apraclonidine to treat eyelid ptosis.
The next option for correction, which surprises many patients, is that you can treat an eyelid ptosis, even one caused by botulinum toxin injections, with MORE botulinum toxin! The eyelid, like most moving structures in the body has muscles which oppose each other.
Although ptosis may persist for the whole duration of effect of treatment with botulinum toxin type A, it will usually settle more quickly and eyelid ptosis will often settle within 3 to 4 weeks and brow ptosis within six weeks.
If the eyes look hooded because of pronounced brow droop or a considerable amount of excess eyelid skin, Botox is decidedly ineffective. No injectable product can reduce or tighten the skin — the only solution is to have it surgically excised through upper eyelid surgery.
Side effects of forehead Botox injections
In addition, if too much Botox is injected into the forehead, the brow can actually look heavier and move the eyebrows down with the result being that the eyes look smaller and the eyelids heavier.
Eyebrow drop is so annoying to patients but thankfully the effects of Botox are not permanent. The eyebrows can start rising even before the full effect of Botox on the forehead wears off. It might take 4-6 weeks, but the eyebrow will be back to it's normal position for sure.
The appearance of peaked eyebrows can be a side effect of a Botox treatment. Fortunately, this can easily be treated.
This is a side effect of Botox treatments, which can be caused by having an injection done too close to your eyebrows, which pushes them down and in turn, makes your eyelids droopy and puffy.
A drooping eyelid can stay constant, worsen over time (be progressive), or come and go (be intermittent). The expected outcome depends on the cause of the ptosis. In most cases, surgery is very successful in restoring appearance and function. In children, more severe drooping eyelids may lead to lazy eye or amblyopia.
There are many causes of hooded eyelids, including aging, genetics, or underlying fat and muscle. Our skin tends to lose elasticity and begins to fall as we age, but the effect is more evident on the face, especially around the eyes. This leads to a noticeable droop around the eyes, appearing hooded.
Although very unlikely, it's possible for the toxin in the injection to spread in your body. Call your doctor right away if you notice any of these effects hours to weeks after receiving Botox: Muscle weakness. Vision problems.
Between 10 to 50 Units of botox
A forehead botox injection can require between 10 to 50 units needed in the forehead depending on the severity of your wrinkles. Allergan, the manufacturer of Botox suggests the amount of units that's recommended in the “five” sites of the forehead is 4 units.
Cause and Prevention of Forehead Heaviness After Botox Injection. The majority of upper-face creases are caused by creating facial expressions. Botox calms the muscles in the face that make a facial expression. When the muscles are relaxed, they can't contract vigorously, which can cause a drooping brow.
In general, you should begin to see results between 24 and 72 hours, but some patients may not see full results for five days or more.
The simple answer to this question is no Botox cannot be reversed. There is no known 'antidote' to Botox although this does not necessarily mean there is nothing that can be done if you experience certain unwanted results.