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Am I Permanently Disfigured with Swollen, Puffy, Eyes from Botox? 8 Weeks Post Injection.
First of all, the effects of Botox and Dysport are temporary and generally wear off after 3-4 months so the symptoms you are experiencing related to your injections are temporary and you should begin to notice them wearing off in 4-8 weeks (maybe sooner). Without an in-person exam it is difficult to tell exactly what your anatomy is and what the exactly the change from before treatment is however, “fuller” upper eyelids can be a temporary side effect of paralyzing the muscle in the forehead that holds the eyebrows and upper eyelids up. When this muscle is relaxed the eyebrow position is lowered and the upper eyelids appear much heavier. The surgeon you visited may have recommended an upper eyelid reduction (blepharoplasty) or eyebrow lift but neither should be performed until after the effects of the Botox have worn off and your normal anatomy can be evaluated.
Clinical Context
Botox works by relaxing the frontalis muscle, which is the only muscle that lifts your eyebrows. When it's weakened, the muscles that pull the brow down aren't balanced anymore, so the brow settles lower and can push extra skin onto the upper eyelid, making eyes look puffy or heavy. This is a temporary effect of the muscle relaxing, not swelling or tissue damage, and it improves as normal muscle activity returns over the following weeks.
