American Society of Plastic Surgeons
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Britney Smith
4 years ago

Eyelid Droop

I got Botox on my right eyebrow 2 weeks ago. My right eyebrow was slightly lower than my left and I wanted to raise it before my wedding since it showed more in pictures. Anyways, 5 days ago my eyelid dropped. It looks awful and my wedding is in 6 weeks. The lady who did it says she only used 4 units and it’s a strong muscle so shouldn’t last too long. Is this true?

Procedure: Botulinum Toxin
Location: West Bloomfield, MI

Replies 3

Nelson Castillo

Thank you for sharing your excellent question and I am sorry to hear of your eyelid/eyebrow issues. First and foremost the most important first step is to identify whether it is an eyebrow or eyelid issue. If eyelid, most patients can not elevate their upper lid more than about half the height of the brow. If this has occurred you can improve this with specific eyedrops. It will totally reverse it, but you should see improvement. If eyebrow, you may be able to do a chemical brow lift or crow’s feet to modestly improve your appearance changes. If you elect to do nothing else, your symptoms MAY improve over 6 weeks but you very well may have the same appearance. Keeping fingers crossed.

Rahul Vemula
ASPS Surgeon
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Thanks for your excellent question. Sorry to hear that your eyelid is dropping. Sometimes a prescription eyedrop can be prescribed to stimulate a muscle to help lift the eyelid in these cases. You still may not get full relief. Botox usually lasts 12 weeks. You may or may not see some relief by your wedding

Please consult with a board certified plastic surgeon to determine what the appropriate course of action will he for you.

Best wishes!

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Rahul Vemula, MD - Plastic Surgery of the Face and Body

Diplomate of The American Board of Plastic Surgery

Diplomate of The American Board of Surgery

Active Member, ASPS

Jon Harrell
ASPS Surgeon

If the forehead muscle was weakened then you'll have to wait it out. If the Botox drifted down and affected the eyelid levator then eye drops can help to improve this situation until it self corrects. Best of Luck Dr Harrell


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