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Is my eyelid drooping or the brow after Botox?

Botox can cause upper eyelid ptosis if it migrates due to incorrect technique or not following after care instructions. I would call your licensed injector and get a presecription for the apraclonidine eye drops to correct the drooping eyelid. Botox normally lasts three to four months, so this issue should resolve over time. Botox, derived from botulinum toxin, has been FDA-approved since 2002 and remains the most popular non-surgical procedure worldwide, with millions of treatments each year.

Clinical Context

Eyelid drooping and brow drooping look similar but come from different muscles. True eyelid ptosis means the upper lid margin itself sits lower, sometimes covering part of the pupil, because Botox affected the levator muscle that lifts the lid. Brow ptosis means the eyebrow itself drops because the frontalis muscle can't hold it up, which can push extra skin onto the eyelid and mimic true ptosis. A photo straight-on with eyebrows relaxed can help your injector tell which one is happening.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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