droopy eyelid from botox

Botulinum toxin, which also causes botulism, is the source of the protein that gives rise to Botox. Botox is technically harmful, but it offers several advantages when administered in minimal doses by a licensed physician. 

Since Botox is a neurotoxin, it disrupts the neurological system’s signals to the muscles that are responsible for the formation of facial expressions. The neurotoxin’s capacity to prevent the release of acetylcholine, a substance that serves as the messenger between the neurons and the muscles, causes the interference.

The muscles close to the injection site cannot contract when acetylcholine is blocked, which causes them to loosen up. The facial muscles’ inactivity lessens the appearance of wrinkles and fine lines.

The areas around the eyes, forehead, and between the eyebrows receive the most extraordinary requests for facial injections. Although it varies from person to person, the effects of Botox can be evident in three to 14 days after injections and typically last three to twelve months.

This blog will educate you on how an eyelid droop from Botox can be fixed and how it is caused.


The upper eyelids sag excessively when there are droopy eyes. The upper eyelid’s edge can be lower than it should be (ptosis), or the upper eyelid may have too much loose skin (dermatochalasis) – Droopy eyes are mostly a combination of these two ailments.
Now you know what droopy eyes are, and such a condition is known as Ptosis.

One of the most commonly used cosmetic procedures is Botox injectables. Even though the treatment is short and straightforward, botched Botox injections might have adverse effects. For instance, some Botox patients experience droopy eyelids after treatment but are unsure how long they will remain. Today, many doctors have joined the Botox bandwagon and are frequently administering it to their patients. You must’ve noticed an increase in complications from cosmetic treatments, and in some cases, even medical consequences – as a result of the rising number of inexperienced practitioners offering to claim expert-level services.


What causes eyelids to droop? Botox paralyzes the muscles close to the injection site and prevents the neurological system from inducing movement; nonetheless, an unpleasant reaction is always possible.

According to one study, ptosis nearly exclusively results from Botox injections given by a novice injector.

How, therefore, can Botox result in droopy eyelids?


Once injected, the Botox spreads throughout the vicinity of the injection site. A depressed, droopy eyebrow will arise from an injection in the forehead area that spreads and affects the brow muscles. The eyelids may become crowded by the sagging brow, giving the face a saggy aspect.

The levator muscles that hold up the upper eyelid may also become paralyzed if the injection is made in the area between the brows, resulting in droopy eyes.

In addition to being unsightly, extreme eyelid drooping can impair vision. Adjusting for the obstruction over time can strain your neck and eyes when you tilt your head back to see.  


The eyelid droop from Botox, like the effects of Botox, is transient, despite the significant risk of paralyzing the eye muscles in exchange for a more youthful appearance. According to surgeons at the Aesthetic Society, Botox-induced eyelid or eyebrow drooping after Botox should go away in four to six weeks. Still, it might take three to seven months.

How to fix droopy eyebrows these two significant ways:


Reduce the time it takes for Botox to dissolve by stimulating the afflicted muscles. Exercising the power sagging or using electrical stimulation are two ways to do this. 

According to practitioners, the back of an electric toothbrush should be gently rubbed over the problematic area for a few minutes each day. The toothbrush’s vibrations will assist in reawakening the muscles that the Botox injection rendered inactively.


Clonidine eye drops are an alternative if using an electric toothbrush on your eyelids sounds a little too strenuous for you. The drops force particular eye muscles to contract and send signals to receptors, which causes the lid to rise 1 to 2 mm. While it’s typical for one or two eye drops to be administered three times a day, your ophthalmologist will be able to assess your condition and prescribe the appropriate treatment.

Preventing Botox-induced eyelid droop from Botox is the recommended course of action. Successful Botox injections require a skilled medical practitioner with experience and training.

The person performing the treatment and the location where it will be carried out should be thoroughly vetted before you consent to any medical procedure, invasive or not.


Your physician might advise ptosis surgery. The levator muscle is contracted during this process. The eyelid will be raised into the desired position as a result. Doctors occasionally might also suggest invasive procedures such as surgery for kids with ptosis to delay the development of a lazy eye (amblyopia).

Board-certified experts at Syra Aesthetics can be the perfect option for you to materialize all your aesthetic desires, in the safest possible manner, without experiencing any complications or adverse effects.

– Disclaimer –

This blog is for informational & educational purposes only and does not intend to substitute any professional medical advice or consultation.
For any symptoms or medical advice, please consult with your physician, Or Book an appointment with our board-certified aestheticians at Syra Aesthetics.

  • About The Author

    Dr. Syra Hanif M.D.

    Board Certified Primary Care Physician

Dr. Hanif is the Director of Aesthetic Medicine. She is a board-certified physician in Aesthetic Medicine who specializes in using non-surgical alternatives in order to enhance one's appearance through Botox and fillers.

Read More