If you experience a droopy eye after botox, it’s natural to feel worried and unsure about what to do. Don’t panic. In this article, Aesthetic Surgery Center will explain the causes and suggest effective ways to prevent and manage droopy eyelids after a botox injection.
What causes droopy eye after botox?
A droopy eye after botox not only makes the eyes look tired and less expressive but also affects vision and causes discomfort in daily life. This condition can result from several factors. Here are the typical causes of eyelid drooping:
- Incorrect injection technique: When performing a botox injection, if the surgeon or technician injects too close or too low near the eyelid muscles, it can paralyze the muscles, causing the eyelid to droop.
- Excessive botox dosage: Using too much botox in the forehead or between the eyebrows can over-relax the muscles, putting pressure on the eyelid-lifting muscles and leading to droopy eyelids.
- Botox migration to surrounding muscles: botox can spread to nearby areas, affecting adjacent muscles and causing the eyelid to droop.
- Not following post-injection instructions: Rubbing or pressing the injected area, bending forward excessively, or lying down immediately after the injection can cause botox to spread and affect the surrounding muscles.

What do I do if I have droopy eye after botox?
What should I do if I have droopy eyelids after botox? This is a common concern for anyone experiencing droopy eye after botox injection. If this happens, do not panic. Go to a medical facility so surgeons can examine you and assess the severity of the drooping. At that point, the surgeon will suggest appropriate solutions and adjustments for your eyelids.
- Using eye drops such as apraclonidine may be prescribed by surgeons to help lift the eyelids by stimulating the eye muscles. However, this method only provides temporary support and does not fully resolve the drooping.
- The natural way to correct mild drooping is to wait for the botox to wear off, as its effects usually last 3–6 months. In mild cases, the eyelids may return to normal once the botox has fully dissipated.
- Gentle massage on the droopy eyelid area can help improve blood circulation and stimulate muscle activity. This should only be done under a surgeon’s guidance and following proper instructions to avoid spreading the botox to other areas.
- Do not rub or press hard on the droopy eyelid, as this can affect the eye area and cause the botox to spread further.

Preventing eyelid droop
To prevent and minimize droopy eyelids while ensuring cosmetic results, avoiding complications after botox injections is very important. Here are some tips to help make your botox treatment and aftercare safe and effective:
- Choose reputable medical centers or aesthetic clinics with eyelid surgery experience surgeons and licensed, genuine botox to ensure a safe and effective injection.
- Avoid rubbing, pressing, or massaging the eyelids, as this can affect the levator muscles and cause eyelid droop.
- Give your eyes regular breaks when using computers or phones. Apply the 20-20-20 rule to relax your eyes and reduce the risk of drooping.
- Wear sunglasses when exposed to sunlight to protect your eyes from UV rays.
- Get enough sleep, around 7–8 hours per day, to allow your eyes to rest and recover.
- Eat a balanced diet rich in vitamin C, vitamin E, collagen, omega-3, and vitamin A to provide essential nutrients for your eyes and body.
- Stay hydrated and limit stimulants such as alcohol, coffee, and tobacco to reduce potential impacts on eye health.
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In summary, droopy eye after botox are usually temporary, lasting from a few weeks to a few months, and most cases will resolve on their own as the botox wears off. However, you should consult your surgeon for an assessment and proper guidance on how to manage it. With the information shared above, Aesthetic Surgery Center hopes you now have the necessary knowledge to recognize this condition and the experience to handle it if it occurs.
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