For droopy eyes (hooded eyelids), Botox is injected into specific, small areas of the orbicularis oculi muscle, particularly the outer, lateral part near the tail of the brow, to relax the muscle pulling the brow down and allow the forehead muscles to lift it, creating a subtle "brow lift" that opens the eye area. Injections are superficial and precise, often near the outer brow, avoiding deep placement or the forehead's central muscles to prevent complications like eyelid drooping.
With a botox brow lift your surgeon may inject Botox into the outside of the eyebrow, which lifts the brow and upper lid slightly, this can help alleviate the appearance of hooded eyes.
These zones include the forehead, between the eyebrows, around the mouth, around the eyes, the nose, neck, and jawline. Each of these areas contains critical nerves, blood vessels, or muscles that, if affected improperly, can lead to issues such as drooping eyelids, asymmetry, or even impaired facial expressions.
Another Botox intervention to correct the drooping eyelid. Eye drops that tighten the eye muscles and elevate the eyelid, such as apraclonidine and brimonidine. Massaging the area around the eyes to stimulate the eye muscles. Electrical stimulus treatments to activate the eye muscles.
The levator is the muscle that is responsible for maintaining the eyelids in their normal position. However, in some instances, Botox migrates from the injected treatment area and ends up in the levator muscle. When this occurs, it causes drooping eyelids or droopy eyebrow.
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How Common Is Ptosis After Botox? Eyelid ptosis after Botox is rare but can still happen. Studies show that about 2-5% of people experience droopy eyelids after Botox.
An oculoplastic surgeon may prescribe an average dose of 12 to 24 Botox units for treatment around the eyes. Depending on the patient's facial anatomy and the initial assessment, a typical treatment involves 4 to 8 units of Botox for the outer eye area and 20 to 30 units for the area between the eyebrows.
If you're wondering whether Botox can help, the answer is often yes, especially when expertly placed by a specialist like Dr. Flora Levin. Botox works by relaxing targeted muscles, allowing the brow to lift slightly and the upper eyelid area to appear more open.
So, as a common rule, when you start seeing fine lines at rest around your eyes or mouth, that's when you should consider Botox® for the first time. Before age 25, this is uncommon. After 25, though, some women will start seeing signs of aging.
The "Botox 4-hour rule" means you should stay upright and avoid pressure or lying down for at least four hours after injections to prevent the neurotoxin from migrating from the treated muscles to unintended areas, which can cause side effects like drooping or uneven results. This helps the Botox settle precisely where it's needed for optimal wrinkle-smoothing effects, so avoid bending, rubbing, or strenuous activity during this critical period.
However, one of the most common complications of botulinum toxin injection is ptosis of upper portion of the eyelid. This is caused by diffusion of the toxin through the orbital septum, where it affects the upper portion of the eyelid levator muscle.
If it's right for you, The Look of 3® is an opportunity to be treated in 3 areas, with 64 units, at least 3 times a year. For moderate to severe forehead lines, frown lines, and crow's feet in adults. *Treatments should be spaced 90 days apart.
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Follow Aftercare Instructions. Following post-procedure instructions is very important in minimizing the possibility of eyebrow droop after Botox. Patients are asked to avoid lying down or rubbing/touching the face for a minimum of 4 hours. This will help keep the Botox from migrating to other muscles.
Generally, it'll cost between $200 and $600. Some of the most prominent variables that factor into that cost include: Price Per Unit – for the most part, under-eye Botox requires around 8-10 Botox units. Each unit can be priced anywhere between $10 and $20, but it varies by doctor.
Injection sites for a hooded eye Botox brow lift are mainly focused on the lateral part of the orbicularis oculi muscle, especially near the tail of the brow. Botox injection points for hoodie brows are placed superficially at the outer brow area to relax the muscle that pulls the brow downward.
Both male and female celebrities worldwide undergo eyelid surgery to maintain a youthful and refreshed appearance, often correcting droopy or hooded eyes through upper or lower blepharoplasty.
How to Prevent Hooded Eyes After Botox
Although ptosis may persist for the whole duration of effect of treatment with botulinum toxin type A, it will usually settle more quickly and eye lid ptosis will often settle within 3-4 weeks and brow ptosis within 6 weeks2,3.
A good price to pay for Botox typically ranges from $10 to $20 per unit, but the total cost depends on how many units you need. Most people require 20 to 60 units for common treatment areas like forehead lines, crow's feet, and frown lines.
Your Guide to Botox Injections
According to Allergan's guidelines, the following units should be given: Crow's Feet – 10 to 12 Botox Units per eye (2 eyes would mean 20 to 24 units) Frown Lines – 20 Botox Units. Forehead lines – 20 Botox Units.
A rare issue is eyelid drooping, also known as eyelid ptosis. This condition can occur when the BoNT migrates from the injection site to adjacent muscles, such as the levator palpebrae superioris muscle, which is responsible for elevating the eyelid and results in a droopy eyelid.
Vitamin A promotes collagen production, resulting in younger-looking skin, and strengthens eyelid muscles, reducing the appearance of droopy eyelids. Additionally, ensure adequate intake of vitamin B and iron, essential nutrients for addressing droopy eyes.
Uneven or Progressive Eyelid Drooping
Ptosis causes include: Natural aging and muscle weakness. Congenital ptosis (present at birth). Nerve-related conditions such as myasthenia gravis or Horner syndrome.