Forehead Botox and Eyelid Ptosis: What Patients Over 50 Should Know

Welcome to Skin Insights by YSBB.

Feeling heaviness or drooping in your eyelids after forehead Botox? You might be experiencing a mild case of eyelid ptosis.

Today, let’s explore why ptosis can occur after forehead Botox, how to manage it, and what older patients or those with naturally droopy eyelids should be cautious about.

---

1. Why Does Eyelid Ptosis Happen After Forehead Botox?

• Botox works by relaxing muscles that create wrinkles.
• The forehead muscle (frontalis) also helps lift the eyebrows and eyelids.
• If Botox spreads too widely or deeply, it can weaken this lifting function.
• People with already weak eyelid muscles (levator muscles) are especially at risk.
• The result can feel like droopy, heavy lids or reduced upper visual field.

---

2. Special Caution for Patients in Their 50s and Beyond

• Older patients often lift their brows unconsciously to keep their eyes open.
• People without natural double eyelids or with sagging lids are more vulnerable to ptosis.
• In these cases, Botox should be limited to the uppermost forehead near the hairline.
• This allows for wrinkle reduction without impairing the eye-opening muscles.

---

3. Is Eyelid Ptosis Dangerous?

• Usually not. It’s temporary and resolves as Botox wears off—typically in 3–4 months.
• However, it may cause some inconvenience, like heaviness or partial vision blockage.

---

4. How to Manage Botox-Induced Ptosis

• Wait It Out: In most cases, ptosis improves naturally within 2–3 months.
• Prescription Eye Drops: Sympathomimetic agents like iopidine can offer temporary lift, though not commonly recommended.
• Visit Your Clinic: A dermatologist can assess the injection sites, eye shape, and advise on whether supportive treatment is needed.

---

5. The YSBB Botox Approach: Safe and Personalized

• We evaluate eye shape, brow movement, and age-related muscle use before treatment.
• Botox is administered in conservative doses, targeting only the upper forehead.
• For patients with no eyelid crease or naturally heavy eyelids, alternative strategies are discussed.
• All procedures are performed and followed up by a board-certified dermatologist.

---

Final Thoughts

Forehead Botox can provide a smoother, younger look—but should never be done without considering the role of your brows and eyelids.

If you’re over 50 or have naturally low-set eyelids, be sure to consult with an expert who understands facial dynamics thoroughly.

At YSBB Skin Clinic, we prioritize safety, aesthetics, and tailored treatment to ensure you get the best results—with no surprises.

YSBB Skin Clinic, Seoul, Korea