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Dr Tim Pearce
What causes a an eyelid ptosis and how should you manage an eyelid ptosis after a botox treatment?
The first thing is to be sure you have the correct diagnosis – too many people self diagnose after an internet search and call the clinic complaining of an eyelid ptosis or an eyelid droop when it is in fact the forehead that has dropped, causing pressure on skin above the eyes and the appearance of the eyelid being affected by compression rather than muscle laxity.
The first test is to look closely at the their forehead/eyelid relationship and assess the amount of movement of both structures. Raising and lowering the forehead with good power would suggest the issue is not the frontalis muscle, where as no movement or weaker movement on the affected side would be indicate that the frontalis may be the cause rather than the levator palpabrae superioris.
If you are confident that the droop is the eyelid, you can prescribe an eyedrop which works by stimulating the smooth muscle like adrenaline does- aproclonadine or iopidine is a sympathomimmetic which will cause an elevation of the eyelid that lasts a few hours at a time – so it helps your client get through the days until natural recovery occurs which is after about 6-10 weeks normally.
