Unfortunately, as the full results from Botox injections will take up to two weeks to appear, there is a chance the drooping could get worse. However, as the results from Botox are only temporary, the droopiness should completely resolve over the next three months.
Lid and brow ptosis from Botox usually appears a few days to a week after being injected. Usually, it gets better after three to four weeks.
Botox is a temporary treatment. The treatment can last three to seven months, but the droopy eyelids will typically go away in four to six weeks.
Unfortunately, congenital ptosis can get worse as people get older as facial structure changes. Sometimes, people with ptosis compensate by raising their eyebrows. However, as one ages, the compensatory action doesn't work anymore.
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.
This occurs as a result of migration of the toxin into the muscle that raises the eyelid (levator palpebrae superioris muscle – pink in the picture). A slight miscalculation, like making the injection too low in the forehead muscle, can cause eyelid drooping after Botox.
A common example are droopy eyelids (also known as ptosis). The levator is the muscle that is responsible for maintaining the eyelids in their normal position. However, in some instances, Botox migrates from the injected treatment area and ends up in the levator muscle.
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.
According to the National Stroke Association, forcing your eyelids to work out every hour may improve eyelid droop. You can work eyelid muscles by raising your eyebrows, placing a finger underneath and holding them up for several seconds at a time while trying to close them.
Is it possible to prevent ptosis? There's no way to prevent droopy eyelid. Just knowing the symptoms and getting a regular eye exam can help you fight the disorder. If you notice that your child seems to have a droopy eyelid, take them to the doctor right away to be treated and monitored.
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.
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.
When doctors inject into the forehead and sides of the eyes (near crow's feet), patients can start getting a droopy eyelid or a droopy eyebrow. In general, you can put about ten to fifteen units in the crow's feet. Another ten to fifteen units in the forehead.
Usually, the levator muscle has stretched and thinned resulting in ptosis. Sometimes it can be congenital in origin and sometimes it can be nerve damage. Whatever the cause patients who have ptosis often notice it more in photographs and therefore become camera shy.
Complete recovery of ptosis was noticed 4 weeks after the initiation of Vitamins B1 and B6 supplementation therapy.
If left untreated, in most cases ptosis will get worse on its own over time, unrelated to using one's forehead to compensate or lift up the eyelid margin, which is called pseudoptosis.
Neurogenic ptosis caused by one of these conditions occurs suddenly, with symptoms worsening in a matter of days or even hours. Patients who experience sudden eyelid drooping should seek medical attention immediately to determine whether the underlying cause is a serious one.
Lack of sleep.
If you've gone a while without a good night's rest and you notice your eyelids look droopy, it's no coincidence. Lack of sleep can cause droopy eyelids because, frankly, your eyes are exhausted.
Effects of neurotoxin injections (Botox, Dysport and Xeomin) peak between 3 and 7 days with 5 as the average. You would expect ptosis to occur by that time if it's going to happen at all. Having the Botox injected by an MD that understands and follows the proper aesthetics of facial beauty also help IMO.
Eyelid ptosis is most commonly seen from inappropriate placement of botulinum toxin. This specific complication can be avoided by staying at least 2‐3 cm above the supraorbital margin or 1.5‐2 cm above the eyebrow while injecting into the frontalis.
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.
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.
Botox is a great facial injection and can "open up" the eyes and make you look more refreshed. However, if Botox is injected too low in your forehead it can make the eyes appear smaller and cause lid "heaviness". The results will last about three months and get much better over time and will not be permanent.
Because the frontalis muscle is an eyebrow elevator, placing too much product too far laterally in the forehead can entirely block the frontalis muscle and lead to a droopy eyebrow. In patients who are younger, typically in their mid-30s to early 40s, usually this is not a significant consequence.