Q. I had Botox for the first time last week. I had 20 units injected. I told them I was concerned about my lids sagging. I am so sad because now my eyes are smaller. I am terrified that this could be permanent. Since it is my first time getting it, what is the percent of my eyes becoming normal again? How can I tell if it’s something with my muscles or just the Botox? What can I do? Thank you!
A. Botox lasts approximately 3 months. Muscle activity returns when the end of the nerve which signals the muscle to contract regains the ability to release acetylcholine.
If the Botox diffused to the muscles of the eyelid making the “eye smaller” (lid lag or ptosis), you may return to your injector or consult with a Board Certified Ophthalmologist to trial a eyedrop called Mydfrin (or other drops) to test the eyelid muscle response and use it for social occasions as it is very short acting. The Ophthalmologist will be able to check for any other eyelid concerns.
The use of Botox is an art and a science. Please consider using a well experienced, Board Certified Plastic Surgeon or ENT Facial surgeon.
I hope this is helpful. All the best! Botox made my eyes smaller, will they become normal again?
Q. I had Botox for the first time last week. I had 20 units injected. I told them I was concerned about my lids sagging. I am so sad because now my eyes are smaller. I am terrified that this could be permanent. Since it is my first time getting it, what is the percent of my eyes becoming normal again? How can I tell if it’s something with my muscles or just the Botox? What can I do? Thank you!
A. Botox lasts approximately 3 months. Muscle activity returns when the end of the nerve which signals the muscle to contract regains the ability to release acetylcholine.
If the Botox diffused to the muscles of the eyelid making the “eye smaller” (lid lag or ptosis), you may return to your injector or consult with a Board Certified Ophthalmologist to trial a eyedrop called Mydfrin (or other drops) to test the eyelid muscle response and use it for social occasions as it is very short acting. The Ophthalmologist will be able to check for any other eyelid concerns.
The use of Botox is an art and a science. Please consider using a well experienced, Board Certified Plastic Surgeon or ENT Facial surgeon.
I hope this is helpful. All the best! 
