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Botox
Botox gave me droopy eye lid again! Why did this happen?
It's important to clarify whether you have an eyelid droop or an eyebrow droop. These can both happen with incorrect placement of the product or diffusion to a surrounding muscle. It's also possible that you have some existing eyelid ptosis and weakening the frontalis muscle caused the eyelid droop to become more apparent since you cannot compensate as well by raising your eyebrows. I recommend seeing an experienced board-certified injector that can assess your specific facial features and musculature prior to treatment.
Clinical Context
The eyebrow and eyelid work together. The frontalis muscle lifts the brow, and many people rely on it to help open their eyes, especially if the eyelid's own muscle (the levator) is slightly weak. When Botox relaxes the frontalis, that hidden lift disappears, revealing a pre-existing droop. If Botox spreads too close to the eyelid itself rather than staying in the forehead, it can also directly weaken the levator, causing a true eyelid droop rather than just a brow-related one.
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