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.
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. According to Dr. Holman, “It's important to remember that, like Botox treatments, a drooping eyelid is usually temporary. The effect will wear off after a while.
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.
According to Dr Gavin Chan, one of the most important things practitioners can do is to, “inject the lateral tail of the corrugator which is the muscle which causes the bunching (6.35) of the frown. Superficially injecting the lateral tail of the frown (corrugator) muscle can help avoid 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.
If you are experiencing eyebrow unevenness this can also be corrected, and you do not have to wait for the Botox injections to wear off. Eyebrow unevenness can be corrected by injecting a little more neurotoxin into the side that is lower. This will eventually correct the asymmetry.
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.
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.
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.
Most of us are familiar with the benefits of BOTOX for smoothing forehead lines and wrinkles, but you may be surprised to learn that BOTOX can also help to lift drooping brows and correct hooded eyes in some patients.
A qualified, experienced injector should never inject the area near the orbital bone right above the pupil. If Botox is injected here, it can drift down toward the upper eyelid and cause an eyelid droop. This can last from weeks to even months.
There is a chance Botox can migrate in the first day or two after the procedure. The more Botox that is injected, the greater the risk for migration. However, experienced physicians with extensive training in Botox know how to mitigate the risk so it is extremely low.
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.
What happens when you do this with a Botox treatment is that the muscle you normally use to raise your eyebrows is relaxed while the muscles you use to lower them are still active. As a result, you'll feel like your eyebrows are heavy and the position of your eyebrows may even do down.
Treating hooded eyelids with Botox is a relatively simple process. The treatment involves injecting Botox into your lower forehead and the outer ends of your eyebrows. When injected, it will paralyze the muscle by effectively preventing nerve receptors that prompt muscle movement.
Injections near the eyes pose the most risk, and these areas are commonly used to combat crow's feet and brow lines. After the Botox is injected, the eyes can become very irritated and dry, and can go quite bloodshot and red. This irritation can then increase into blurred vision and the inability to see correctly.
Why Does It Take Botox Time To Work? Botox takes time to work because it must reach the cellular level of the muscle in order to block the neurotransmitters in the nerve, eventually causing the paralyzation of the muscle.
Natural-looking results: Botox injections can slightly lift the eyelid skin and make the eyes look more alert as naturally as possible. Quick results: It only takes a few days for Botox injections to kick in, so you'll quickly see wider more alert eyes.
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.
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.
If just one of your eyelids droops, it may be a result of a nerve injury or a temporary stye. Routine LASIK or cataract surgery is sometimes to blame for the development of ptosis, as a result of the muscle or tendon being stretched.
Adults get ptosis – called involutional ptosis – when the levator muscle stretches and separates from the eyelid. This can be caused by aging, as a result of an eye injury, or sometimes as a side effect of certain eye surgery. Occasionally other diseases can affect the eyelid muscle, causing ptosis.
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.