Treatment of Full Eyelid Ptosis Following Botox Injection: A Case Report

Abstract

We report the case of a 24-year-old woman who was referred to one of the authors' clinics after six days of botulinum toxin type A injection to treat dynamic lines on her forehead, glabella complex, and crow’s feet area. Her first esthetic injection was done by another colleague elsewhere in a different clinic. Her main complaint was full eyelid ptosis, which started four days after her treatment and continued to aggravate until the time she sought our help. We treated it with another dose of botulinum toxins. The patient started to notice a gradual improvement in her eyelid five days after our injection, so on day 14th, her eyelid was very closely back to normal opening; complete recovery was achieved. Ptosis due to botulinum toxin injection was surprisingly and successfully reversed in our article by a second dose of botulinum toxins. This suggests that this management successfully treats such cases and can deliver a beneficial reversal option for practitioners and their patients. The case report concludes that ptosis should be promptly evaluated and treated through a multimodal approach.