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Droopy Eyelid Fix for Too Much Botox?

Posted Dec 23 2009 12:00am

A patient of mine e-mailed recently. She lives kinda far from me so she goes to a local doc (a general practitioner) for Botox. She got more than usual for her forehead and nasal root (for the look of consternation I’d predict) and now she has a droopy eyelid.

Her doc put her on Apraclonidine drops and she e-mailed asking how long can she be on them safely. She reports that fortunately they seem to be helping.

Apraclonidine is a drug that compensates for the weakened eyelid opening muscle by tightening it chemically. As the droopy eyelid problem usually only last a few weeks she can probably be on them for that period of time without harm.

The lesson to be learned is to take it easy on the amount of botulinum toxin you have injected and consider that you might have more risk going to a non-plastic surgeon. I am not a fan of doing full foreheads and have only had one temporary eyelid droop in ten years of using these products.

Best Regards,

John Di Saia MD

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