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Dysport
Got Dysport in forehead and 11s. Noticed eye drooping on the following Wed and worse by Saturday. Is this eyelid ptosis?
Yes, that pattern, drooping that shows up several days after injection and progresses, is classic for eyelid ptosis from Dysport. That said, if you notice any double vision, blurred vision, or other change in your vision, or any eye pain, please contact your treating physician right away and seek same-day evaluation, either with them or an ophthalmologist, since those symptoms need prompt medical attention and are not something to watch and wait on.
If what you are seeing is simply the lid itself drooping, without any visual changes or pain, that happens when a small amount of toxin diffuses through the orbital septum and affects the levator palpebrae, the muscle that holds your upper lid up. This is different from brow heaviness, which is more about the forehead muscles relaxing. Onset is usually within the first one to two weeks and can worsen before it stabilizes. The good news is that lid ptosis alone always resolves once the Dysport wears off, typically over a few weeks. In the meantime, apraclonidine (Iopidine) eye drops can be prescribed to stimulate Müller's muscle and lift the lid a couple of millimeters, enough to make a real cosmetic difference while you wait it out.
Please follow up with your injector promptly so they can confirm the diagnosis, rule out anything more concerning, and get you the drops if appropriate. This is also worth mentioning at your next visit so they can adjust injection points next time to reduce this risk.
Clinical Context
Two muscles help open the upper eyelid. The levator, controlled by a nerve from the brain, does most of the lifting. Müller's muscle, just beneath it, is controlled by the body's sympathetic nervous system and gives a smaller boost. When toxin spreads to the levator, it weakens the main lifting muscle, causing droop. Apraclonidine drops stimulate Müller's muscle to partially compensate, temporarily raising the lid a bit while the toxin's effect on the levator fades.
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