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Botox eyelid ptosis twice in a row?

Cosmetic Treatments QuestionsCategory: BotoxBotox eyelid ptosis twice in a row?
A patient asked 4 years ago
In September i went to new provider for botox brow life. 4 units each side. within a week i had mild ptosis on both eyes. 2 months later i was getting intermittently better ( ptosis came and went) but i was getting forehead wrinkles. i went to the provider i usually go to for browlift ( bc it works on forehead wrinkles somehow). one week later both my eyelids began to drop worse than the first time? Did i strengthen previous botox? this provider injected me regularly, never an issue. whats next?
1 Answers
Dr. Elham Jafari Staff answered 4 years ago

Ptosis after Botox

Hi and thank you for your question! Medicine is never an exact science and the results patients get might vary each time. In your case, I wouldn’t be concerned just yet and you should probably be fine with future treatments. However, if you keep seeing this happening, you might want to consult a neurologist to rule out other medical causes for muscle weakness in the area. While rare, a patient with weakening muscles in that area due to some other issues (e.g. undiagnosed Myastenia Gravis) can see over-reaction to Botox dose that wouldn’t have caused any issues before. Again, this is very rare and what you see is most likely just a incidental reaction, so you shouldn’t worry about it yet, but it’s something to consider if you see it happening. I hope it helps and good luck!


IMPORTANT: These answers are for educational purposes only and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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