When Botox migrates to one or both of two specific areas, Botox injections can result in a droopy eyelid — also called ptosis. These two areas are the forehead and between the eyes.
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.
Small but Strong… True eyelid ptosis is a very rare complication following Botox injection. 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).
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”.
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.
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.
After two to four weeks (on average), the effects of the Botox will wear off and your eyelid will look normal when you wake up without needing the eye drops. Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients.
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.
Your surgeon may inject Botox into the outside of the eyebrow, which lifts the brow and upper lid slightly.
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.
Typically, a “Spock Brow” is due to overtreating depressors and/or undertreating elevators in the outer half of the forehead. It can be corrected by placing a small amount of Botox into the elevators in the outer forehead.
Botox is a great tool for lifting heavy upper lids and sagging eyebrows. I see many patients in their 20's, 30's and 40's that are bothered by a slight drop of the brow and heaviness on the upper eyelids. When strategically placed, Botox lifts the brow and improves heavy upper eyelids.
There is a possibility that the difference in your eye size is due to Botox. Occasionally Botox can prevent the eye brow from rising the same as the other side. This can lead to the heavy and full feeling in the left side. It will return to normal within three months of the injection.
The first “true” results will be noticeable within 24 to 48 hours – when you'll see a softening of wrinkles. Why does Botox need a couple days to start working?
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.
What causes droopy eyelids after Botox? When Botox migrates to one or both of two specific areas, Botox injections can result in a droopy eyelid — also called ptosis. These two areas are the forehead and between the eyes.
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.
Answer: Will Massage Make Botox Go Away Quicker? I'm very sorry you are experiencing unfavorable reactions to your Botox treatment. The unfortunate news is massaging will not change the longevity of the Botox; however the good news is the effects should soften soon.
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.
Answer: Botox
Occasionally Botox can prevent the eye brow from rising the same as the other side. This can lead to the heavy and full feeling in the left side. It will return to normal within three months of the injection.
In some cases, the Botox spreads to the outer portion of the muscle on one side, but not the other side. In these cases you may see only one eyebrow peaked.
These days, Botox can be used to raise the eyebrow higher up or even lower the brow, if so desired. Botox is injected directly into the appropriate muscle depending on whether the eyebrow needs to be lowered or lifted.
Answer: Eyelid heaviness and "hooding"
This effect can be experienced with Botox treatments in patients that have heavy lids or excess upper eye lid skin. This is because botox relaxes your forehead muscles and does not allow you to lift your eyebrows as easily.
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.
Typically, an oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around and under the eyes.