Approximately 5 percent of people who receive Botox injections will experience the side effect of a drooping eyelid. Otherwise known as blepharoptosis, this side effect is sometimes noticed as early as several hours after Botox injections. However, it's more typically noticed between a few days and a few weeks later. This temporary state can be very disheartening for those who experience it.
Cause
OnabotulinumtoxinA is the active ingredient in Botox Cosmetic. In a series of injections, the toxin is instilled into specific facial muscles in the upper 1/3 of the face. There, it blocks the nerve endings and paralyzes the muscles for approximately 3 to 4 months. Relaxing these muscles helps to decrease wrinkles and lines. According to the FDA, this toxin occasionally spreads to the muscle that helps control the position of the eyelid. The result is an unintended relaxation of that muscle. The toxin leaking into this area ultimately produces a droop or sag in the eyelid.
Features
While the good news is that the eyelid drooping caused by Botox injections is temporary, the duration and extent of the side effect is unpredictable. Some people report episodes that last only a few weeks. Others have episodes that last up to 3 months and occasionally even longer. Similarly, the degree of blepharoptosis varies from a slight dip in the lid to involvement so extensive that it hinders vision. Report any eyelid drooping to your healthcare provider as soon as you begin to notice it. She may be able to provide you with predictions specific to your particular situation.
Treatment
The Dermatology Online Journal identifies three brands of eye drops that have been used to treat blepharoptosis following Botox injections. Iopidine drops cause the Muller muscles to contract, and this raises the eyelid 1 to 3mm. Alphagan drops and Neo Synephrine Hydrochloride drops increase overall muscle tone. This then helps the eye to open more fully. It is important to remember, however, that the treatment of blepharoptosis is an unlabeled use of these eye drops. Review your health history and discuss any potential complications with your healthcare provider before beginning the drops.
Misconceptions
The popularity of Botox has led to multiple scams and a host of poor practices. One way to minimize the potential for complications is to steer clear of questionable situations. Be wary of Botox parties, discount prices and clinics with minimally trained staff performing injections. The FDA recommends that only trained, qualified healthcare professionals administer Botox injections. Consumers are also cautioned to make sure they are receiving only an FDA-approved product purchased within the United States. Another thing to keep in mind is that medical procedures are not social events. Malls and private homes don't have the equipment that's available in a medical environment. Educating yourself may help you to avoid complications.
Considerations
Prevent complications by being an informed consumer. Ask about the credentials of both the clinic and the person who will be administering the Botox injections. Find out what percentage of their clients experience side effects. Look for a board certified dermatologist, plastic surgeon or cosmetic surgeon. Check with your state's licensing board to ensure the provider is in good standing. If you've already experienced eye drooping and are unsure of your provider's practices, seek out a second opinion before any follow-up treatment.
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