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How to Fix Droopy Eyelids with Botox

Droopy eyelids can be upsetting; the good news is there are solutions. This article explains how to fix droopy eyelids with Botox, the causes of droopy eyelids, other ways of fixing and how to prevent your eyelids from drooping.

Drooping eyes can result from ageing, making the skin less elastic. The skin around the eyes is thinner than other parts of the face and is constantly in motion. Another reason for droopy eyelids could be because of a wrong cosmetic procedure. If a cosmetic doctor injects wrongly, it could cause droopy eyes. It is fixed by injecting more Botox, which will help lift the muscle, using eye drops prescribed by the medical expert, or waiting for the product to wear off with time.

Causes of Droopy Eyelids After Botox

When the eyes droopy after the injection, here are some of the causes;

Forehead Injection

Botulinum toxin is injected into the forehead to minimize wrinkles caused by frowning. Small (2014)explained that the injection relaxes muscles and minimizes movement. It helps to give a smooth and shining forehead. If the product is injected wrongly, it can cause the brow to descend and cause heaviness on the eyelids, making them difficult to open.

Injection Between the Eyes

Botulinum toxin is injected between the eyebrows and above the nose to reduce the appearance of the vertical lines. After injection, the product can move in the eyelids, paralyzing the muscle that holds up the lids, which causes heaviness on the upper eyelids.

Wrong Placement

If a cosmetic doctor injects the botulinum toxin wrongly, it could cause the eyes to droopy, and injecting the treatment near the surface could cause side effects. Wrong amounts of treatment could also be a factor.

Ways of Fixing Droopy Eyelids

Droopy eyelids are fixed in various ways, such as;


Mustak et al. (2018) explained that droopy eyelids could be injected with botulinum toxins which can help to tighten the skin. If the eyelids have dropped because of the wrong injection technique, the medical aesthetician will inject more product to loosen the muscles and reduce the heaviness on the upper lid.


The cosmetic doctor may use fillers to lift the brow. Fillers are nonsurgical treatments that add volume to certain parts of the face.

Eye Drops

Certain medications are used in the form of drops to stimulate the smooth muscle in the eye. When the drops are put in, the tarsal muscle responds by widening, which helps reduce the drooping of the eyelid. The drops are used after a few hours to help temporarily lift the brows.

How to Prevent Droopy Eyelid

After having Botox treatment, here are some of the ways to prevent your eyelids from drooping:

  • Avoid massaging your face for 24 hours. It includes facial massages and scrubs.
  • Avoid lying down for a few hours.
  • Avoid makeup in the injected areas to avoid infections
  • Avoid sleeping on your face to prevent the product from moving
  • Avoid alcohol for two days because it is a blood thinner
  • Do not expose your injected area to direct sunlight because of UV rays,
  • Do not take hot showers or go for saunas because the heat could enhance swelling.
  • Avoid strenuous exercise for 24 hours.
  • Avoid certain medications and supplements before and after botulinum toxin injection.
  • Visit a trained and certified cosmetic doctor.

Side Effects of Botox

Besides droopy eyelids, botulinum injection is accompanied by side effects such as swelling, bruising, headache, skin tightness, and swollen eyelids. These side effects are normal and usually go away after some time. Some side effects depend on the technique the cosmetic doctor uses to inject. Other serious complications are experienced, and they need attention immediately. These side effects include;

Difficulty Swallowing or Breathing

Botulinum injection can weaken the muscles causing difficulty. It can be a serious issue if one already has to swallow and breathing problems. If they experience such side effects, speak to a cosmetic doctor.

Vision Problem

Botox on the forehead or between the brow can affect your eyelids if injected wrongly. It could make it difficult to see or blink. The medical expert should be able to fix the issue.

Heart Problems

Invernizzi et al. (2015) explained that though this is rare, botulinum injection can cause heart rhythm problems if you already have an existing heart problem.

Nerve or Muscle Problems

People who suffer from nerve problems could be at high risk of experiencing such problems after treatment. The muscle may become stiff in the injected area or weak in an area not injected.

Sore Throat, Cough, and Chest Tightness

Rouientan et al. (2019)explained that this would need medical attention because it can lead to complications. Pain and bleeding could happen in the injected area. Botulinum injection can spread to other areas.

Frequently Asked Questions about Droopy Eyelids

Are Droopy Eyelids Serious?

Droopy eyelids, in most cases, are caused by the wrong injection technique during botulinum toxin injection. Some people experience limited vision because of the heavy eyelids. Some cases of people experiencing fatigue and weightiness have been reported, and sometimes the sagging can lead to tearing.

When Should I See aDoctor?

If one’s vision has changed or can’t go about daily activities like driving or reading, it is advisable to seek medical advice. The cosmetic doctor will recommend the best option for you.

Do Eyelid Lift Creams Work?

A good lifting cream recommended by the cosmetic doctor helps restore firmness and elasticity, reducing droopiness. Use a cream after consulting the cosmetic doctor to avoid complications or reactions.

Does Botox Remove Eye Bags?

Botox performed on the crow’s feet helps relax wrinkles, which can improve the eye area, but botulinum toxin injection does not remove eye bags; however, eye filler can help permanently fix the problem.


Botox is good for droopy eyelids if the treatment has caused them. To avoid such side effects, research before visiting a clinic and ensure it is reputable. Check for clinic reviews to see if they do a good job. Go for consultation before the day of treatment and discuss the expectations. Check pictures of previous jobs the medical expert has done. If side effects such as droopiness occur, do not hesitate to return to the clinic for medication or correction. Follow guidelines given after treatment to avoid other complications.


Invernizzi, M., Carda, S., Molinari, C., Stagno, D., Cisari, C., & Baricich, A. (2015). Heart Rate Variability (HRV) modifications in adult hemiplegic patients after botulinum toxin type A (not-201) injection. Eur J Phys Rehabil Med, 51(4), 353-359.

Mustak, H., Rafaelof, M., Goldberg, R. A., & Rootman, D. (2018). Use of botulinum toxin for the correction of mild ptosis. The Journal of Clinical and Aesthetic Dermatology, 11(4), 49.

Rouientan, A., Otaghvar, H. A., Mahmoudvand, H., & Tizmaghz, A. (2019). A rare complication of botox injection: a case report. World journal of plastic surgery, 8(1), 116.

Small, R. (2014). Botulinum toxin injection for facial wrinkles. American family physician, 90(3), 168-175.

Monika Wasserman