Botox™ - Related FAQ's

Q: Can eyelids swell after Botox?

A: I am not aware of allergic reactions to Botox involving swelling of eyelids, although anything is possible, but swelling can be caused by different issues. The upper eyelids may appear puffy and swollen if the eyebrows droop causing the upper lids to become compressed by the skin immediately below the eyebrow falling down. Women will often complain that they can’t put on their eye shadow without holding up the eyebrow. This is typically the case when the woman has started to develop the sagging eyebrows and the forehead muscles are actively contracting constantly to keep up the eyebrows. When Botox is used to smoothen the forehead in these individuals, the eyebrows can no longer be held up.

Another reason for swelling of the eyelids is true fluid retention of the lower eyelids. This can happen if the patient is prone to developing puffiness and Botox was injected near their lower eyelids. Sometimes Botox is injected their for a hypertrophic, or bulky, orbicularis oculi muscle which then smoothens as a result of the botox’s relaxing effect. However, the muscle can no longer, while relaxed and until the Botox wears off, function like a pump so the fluid is retained and not drained away.

Q: If I had Botox injected on my crow’s feet, would I be seeing a lump in my forehead now?

A: There is no distant effect such as a bump, noted to occur with any cause and effect from Botox injected in a remote area. The area that is injected with Botox rarely bruises and is very rarely sore, but there should be no development of a sore bump in an area distant to the Botox injection as a consequence of the Botox.

Q: My friend went to a Botox party. Are these safe?

A: It is not advised to trust unconventional environments for medical treatment. Concerns could be cleanliness of the environment, the provider may not be able to wash hands well in between patients, the lighting may not be good, and should a patient feel anxious and light-headed from general uneasiness or fear of injections, then emergent treatment equipment might not be available.

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