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One Lid Down: Managing Droopy Lids After Botox
Noticing a droopy or heavy eyelid after Botox? It could be eyelid ptosis—a rare but possible side effect. Botox works wonders, but placement is key. Here’s what to know.
Eyelid ptosis happens when Botox spreads to the muscle that lifts the upper eyelid. This muscle sits near a thin barrier between the forehead and eye. If Botox reaches it, the eyelid may droop temporarily.
Several factors can raise the risk of eyelid ptosis after Botox:
● Injection technique – Placing Botox too close to the eye can affect nearby muscles.
● Dosage – Higher doses may spread more easily.
● Anatomy – Muscle layout and skin thickness vary from person to person.
● Post-care – Lying down, rubbing, or working out too soon can cause product migration.
Eyelid ptosis often shows up within a few days to two weeks after Botox. Signs include:
● Drooping upper eyelid (one or both sides)
● A heavy, tired feeling around the eyes
● Reduced vision in more severe case
It’s temporary but may last 3–4 months until the Botox fades.
Immediate Actions (always consult your provider first):
● Eye drops: Apraclonidine or brimonidine can help lift the eyelid.
● Gentle stimulation: Lightly vibrating the eyelid (e.g., with the back of an electric toothbrush) may help.
● Eyelid support: Taping or using supports can give a temporary lift
Eyelid ptosis after Botox is rare but possible. If it occurs, avoid more Botox and consult your provider. It’s usually temporary and manageable. Choosing the right injector and following aftercare can help prevent it.
