What are the complications of Botox on eyes?

Author: Prof. Freida Hermann PhD  |  Last update: Thursday, July 24, 2025

Eye dryness, excessive tearing, or hollowness under the eyes. Puffy eyelids, eyelid ptosis, or droopy eyelid. Brow ptosis or cockeyed eyebrows.

What can go wrong with Botox around the eyes?

Possible side effects of Botox around the eyes include: Difficulty breathing or swallowing, which can be fatal. The traveling of the poison from the injection site to other parts of the body, causing severe complications. Shortness of breath.

What is the risk of eye Botox?

Crossed eyes. Migraine headaches. Eyelid spasm (blepharospasm) Hemifacial spasm.

What is the most common complication of Botox?

Headache and migraine were the most frequently reported adverse event and were recorded in 269 (6.3%) injection sessions, followed by local skin reactions such as bruising or hematoma at the injection site, reported in 163 (3.8%) patients, and facial neuromuscular symptoms in 141 (3.3%) injections.

Is it bad to get Botox around your eyes?

Eye BOTOX is a relatively safe treatment, but it should only be administered by a qualified and experienced medical professional.

Botox & Fillers For Under Eye Bags | Before & After #botox #fillers #undereyebags #beforeandafter

What happens if Botox spreads to eye?

They can inject Botox into the wrong area or use a dose that's too high, which leads to muscle weakness and droop. You could have trouble fully opening your eyes or vision problems. In the unlikely chance that this happens, you'll usually see signs of eyelid droop a few days to a week after you get a neurotoxin.

How much does Botox cost for eye wrinkles?

It's a rather difficult question to answer because it varies greatly from one doctor to the next and there are a number of variables that affect the overall Botox injections cost. Generally, it'll cost between $200 and $600.

Can Botox cause hooded eyes?

While BoNT is generally safe, it's important to note that, ​as with​ any cosmetic treatment, it can have potential complications. One such rare issue is the droopy eyelid or eyelid ptosis. This occurs when BoNT migrates to unintended areas, affecting the muscles that control the upper eyelid.

Can Botox cause optic nerve damage?

Conclusion. Botulinum toxin-induced neuropathy is a rare and vision-threatening complication of BTA. In patients with recent injection of BTA who present with visual complaints, botulinum toxin-induced neuropathy should be considered.

How long does Botox last around the eyes?

Botox around the eyes usually lasts anywhere between three and four months. You should start to see the effects of Botox three to seven days after treatment. Botox usually wears off a little quicker after the first treatment but lasts for several months following multiple follow-ups.

Is Botox on the eyelid safe?

Experts agree that Botox is relatively safe. Complications from Botox injections are rare and temporary.

What's the best treatment for under eye wrinkles?

Topical Treatments

Retinol is a well-known solution for under eye lines treatment due to its ability to boost collagen production and promote cell turnover. Look for eye creams containing retinol to smooth fine lines and rejuvenate the under-eye area.

Where should you not inject Botox around your eyes?

Under the Eyes

Eyebrows/Glabella: It's important to know that there are certain areas of the face that Botox (botulinum toxin) should not be injected. The glabella is one of these areas.

What is the best alternative to Botox?

Below are 10 alternatives to BOTOX® that might help if you're seeking smoother or firmer skin on your face.
  • Cosmetic Acupuncture. ...
  • Microneedling. ...
  • Chemical Peels. ...
  • Laser Therapy. ...
  • Cryotherapy. ...
  • Facial Creams. ...
  • Neuropeptides. ...
  • Face Patches.

Why do my under eyes look worse after Botox?

It is not uncommon for individuals to experience temporary puffy eyes after receiving Botox injections for cosmetic purposes. Puffy eyes can occur as a result of the injection process itself or as a side effect of the Botox treatment, leading to swelling around the eyes.

Can Botox harm your eyes?

Botox is a common procedure that's rarely accompanied by serious side effects. However, you should call your healthcare provider immediately if you experience: Vision problems, including blurred vision or drooping eyelids. Signs of urinary tract infection, such as blood in your urine (hematuria).

Can Botox cause retina detachment?

It is possible for the botox needle to pass through the outer coat of the eye during treatment, but this is an extremely rare occurrence. Like scleral perforation during squint surgery, there is a very small risk that this could result in a retinal detachment or an infection within the eye.

What happens if Botox drips in your eye?

Although the BTX that diffuses into the orbit from these injections might well cause adverse effects, the same neurotoxin dropped into the eye is no more than a matter of wasting expensive material.

How to fix droopy eyes from Botox?

Muscle massage: One option to treat uneven eyelids is to exercise the drooping muscle or “wake” it up. Experts recommend massaging the affected eyelid with the back of an electric toothbrush for several minutes a day; this helps stimulate the muscle and reduce the amount of time it takes for Botox to dissolve.

Why are my eyes so heaviness after Botox?

Most often, a sensation of heaviness in the upper eyelid after Botox injections in the forehead results from over-paralysis of the forehead muscle, which causes the eyebrow to droop and press the upper eyelid downward.

What are the side effects of Botox injections under the eyes?

Pain, tenderness, redness, bruising, or bleeding in the area you were injected are among the most common symptoms of Botox injections. These are usually caused by damaged blood vessels bleeding into the surrounding areas, although this effect doesn't last for more than a few days.

Is 40 units of Botox a lot?

Usually, an average Botox treatment is in the range of 40-50 units, meaning the average cost for a Botox treatment is between $400 and $600. Forehead injections (20 units) and eyebrow lines (up to 40 units), for example, would be approximately $600 for the full treatment.

Does insurance cover Botox for wrinkles?

In most cases, insurance providers will cover Botox injections that are for medical reasons but not those for cosmetic purposes. Resources such as the Botox Savings Program and GoodRx coupons can help you save money on Botox treatments.

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