The-link-between-botox-and-ptosis-what-you-need-to-know
Search
Dermatological
Lesions & Bumps
Mole Removal
Skin Tag Removal
Wart Removal
Milia Removal
Cyst Removal
Lipoma Removal
Verruca Removal
Anal Skin Tag Removal
Genital Wart Removal
Cherry Angioma Removal
Eyelid Skin Tag Removal
Dermatofibroma Removal
Corn Removal
Mole Mapping
Eye Cyst Removal
View All Lesions & Bumps
Lifting & Tightening
InstaLift
Titefx
Viora Reaction
Emface
View All Lifting & Tightening
Rejuvenation
Hydrafacial
Chemical Peels
Morpheus8
Aqua Peel
Facial
Celluma
View All Rejuvenation
Skin Treatments
Fractora
Fibroblast
Intense Pulsed Light (IPL)
Microdermabrasion
Dermaroller
Photodynamic Therapy (PDT)
PRP Facial
ReCell
Smartxide Laser
Pelleve
Fractora Forma
Acne Scar Removal
Anal Bleaching
Xanthelasma Removal
Keloid Scar Removal
Intimate Bleaching
Back Acne Treatment
Thread Vein Removal
Vi Peel
View All Skin Treatments
Wellness
Vitamin Drips
Gut Health Test
Private GP Appointments
Glutathione Drip
Vitamin B12 Shot
Vitamin C Drip
Vitamin D Shot
NAD Drip
Myers’ Cocktail Drip
Glutathione Shot
Vitamin B Drip
Vitamin B12 Drip
Vitamin D Drip
View All Wellness
View All Dermatological
Non-surgical
Body Treatments
Mesotherapy
Nanografting
Buttock Injections
View All Body Treatments
Facial Treatments
Silhouette Soft Thread Lift
Non-Surgical Neck Lifts
PDO Thread Lift
Lash Lift
Semi-permanent Makeup
Innopen
Spring Lift
Non-Surgical Face Lift
Cinderella Lift
French Lift
Nose Thread Lift
Ear Wax Removal
View All Facial Treatments
Hair Treatments
PRP Hair
Scalp Micropigmentation
Hair Transplant
Hair Transplant Women
Beard Transplant
View All Hair Treatments
Injectables
Polynucleotides
Sclerotherapy
Spot Injection
Ellansé
Lanluma
Jawline Filler
Nose Filler
Chin Filler
Cheek Filler
Bum Filler
Sculptra
Lip Fillers
Botox
Tear Trough Filler
Russian Lips
Skin Boosters
Ozempic
Botox Brow Lift
Masseter Botox
Forehead Botox
Scrotox
Dermal Fillers
Temple Filler
Lip Filler Dissolving
Mounjaro
Wegovy
Microneedling
Hip Dip Filler
Fat Loss Injection
Botox For Crow’s Feet
Nefertiti Neck Lift
Botox For Hyperhidrosis
View All Injectables
View All Non-surgical
Surgical
Body Surgery
Brazilian Butt Lift
Mons Pubic Lift
Brachioplasty (Arm Lift)
Thigh Lift
Tummy Tuck (Abdominoplasty)
Butt Implants
Mummy Makeover
Hernia Surgery
Scar Revision
Foot Surgery
Hand Surgery
Buttock Lift
Belly Button Surgery (Umbilicoplasty)
View All Body Surgery
Breast Surgery
Gynaecomastia
Breast Reduction
Breast Augmentation
Nipple Reconstruction
Breast Lift
Breast Enlargement
Breast Implant Replacement
Breast Implant Removal
Nipple Reduction
Breast Reconstruction
View All Breast Surgery
Cosmetic Andrology
Vasectomy
Penis Enlargement
Penis Filler
Frenuloplasty
Adult Circumcision
View All Cosmetic Andrology
Cosmetic Gynaecology
Labiaplasty
NRose
Vaginal Tightening
Vaginal Rejuvenation
O-Shot
P Shot
Vaginoplasty
Hoodectomy
Vaginal Skin Tag Removal
View All Cosmetic Gynaecology
Facial Surgery
Facelift
Lower Face And Neck Lift
Blepharoplasty (eyelid Surgery)
Brow Lift
Otoplasty
Earlobe Repair
Chin Implant
Rhinoplasty
Lip Lift
Alarplasty
Cheek Implants
Mini Facelift
Lip Flip
Septoplasty
Fox Eye
Nose Tip Rhinoplasty
Micro Facelift
View All Facial Surgery
Fat Transfer/Removal
Buccal Fat Removal
BodyTite
FaceTite
Fat Transfer Breasts
Vaser Liposuction
NeckTite
Liposuction
Chin Liposuction
Laser Liposuction
Fat Transfer
Natural Breast Enlargement
Fat Transfer To Body
Fat Transfer To Face
View All Fat Transfer/Removal
View All Surgical
Search
Body Concerns
Breasts
Asymmetrical Breast
Inverted Or Oversized Nipples
Sagging Or Drooping Breasts
Puffy Nipples
View All Breasts
Other Areas
Banana Rolls
Cankles
Leg Veins
Dry Skin
Enlarged Male Breasts (Man Boobs)
Neck Wrinkles
Sagging Neck Skin
C Section Pouch
View All Other Areas
Volume & Contouring
Cellulite
Lipoma
Sagging Or Flat Buttocks
Hip Dips
View All Volume & Contouring
View All Body Concerns
Health & Wellness
Digestive Health
Digestive Problems
Bloating, Gas, And Trapped Wind
View All Digestive Health
Energy & Immunity
Fatigue
Iron Deficiency
Nutritional Deficiencies
Vitamin B12 Deficiency
Weak Immune System
Vitamin D Deficiency
Zinc Deficiency
View All Energy & Immunity
General Health
Alopecia
Hyperhidrosis
Bingo Wings
Postpartum Hair Loss
View All General Health
View All Health & Wellness
Skin & Face
Ageing Signs
Asymmetrical Face
Congested Skin
Crow’s Feet
Frown Lines
Sagging Skin
Fine Lines And Wrinkles
Forehead Wrinkles
Nasolabial Folds (Smile Lines)
Jowls
Sagging Cheeks
Skin Laxity
Smokers Lines
View All Ageing Signs
Skin Texture & Tone
Rosacea
Acne Scars
Open Pores
Hyperpigmentation
Sun Damage
Scarring
Sensitive Skin
Actinic Keratosis
Dull Skin
Eczema
Textured Skin
Uneven Skin Tone
Keloid Scar
Stretch Marks
Vitiligo
View All Skin Texture & Tone
Specific Areas
Burns
Under Eye Bags
Deviated Septum
Bruxism
Diastasis Recti
Hooded Eyes
Drooping Eyelids (Ptosis)
Irritating Skin Tags
Acne
Earlobe Cyst
Hair Loss
Psoriasis
Skin Inflammation
Thin Lips
Precancerous Skin Lesions
Spider Veins
Skin Tears And Trauma
Uneven Lip
Sunken Eyes
Varicose Veins
Protuding Ears
Under Eye Wrinkles
Thin Or Sparse Eyebrows
Split Earlobes
Small Or Weak Chin
Straight Eyelashes
Teeth Grinding
View All Specific Areas
Volume & Contouring
Flat Cheekbones
Volume Loss In The Face
Double Chin
View All Volume & Contouring
View All Skin & Face
About Us
Reviews
Shop
Articles
Podcast
The Open Letter
Patient Journeys
Press & PR
Contact Us
Expert care for a wide range of skin conditions, ensuring healthy, radiant skin.
Lesions & Bumps
Comprehensive care for skin lesions and bumps, promoting clear and healthy skin.
Lifting & Tightening
Advanced treatments to lift and lighten the skin, enhancing firmness and brightness.
Rejuvenation
Revitalize your skin with advanced treatments designed to restore a youthful glow.
Skin Treatments
Effective solutions for a variety of skin concerns, promoting clear and healthy skin.
Wellness
Holistic skincare approaches to support overall skin health and well-being.
Advanced, non-invasive treatments to rejuvenate your appearance without surgery.
Body Treatments
Transformative, non-invasive treatments to sculpt and tone your body effortlessly.
Facial Treatments
Rejuvenating facial treatments to refresh and enhance your natural radiance.
Hair Treatments
Advanced treatments to restore hair vitality and promote healthy growth.
Injectables
Minimally invasive injectables to smooth wrinkles and enhance facial contours.
Precision cosmetic surgery tailored to enhance and refine your natural beauty.
Body Surgery
Expertly performed body surgeries to reshape, contour, and enhance your physique.
Breast Surgery
Specialized breast surgeries to enhance shape, size, and symmetry for a natural look.
Cosmetic Andrology
Advanced procedures designed to enhance male aesthetics and address intimate concerns.
Cosmetic Gynaecology
Tailored surgical solutions to enhance feminine aesthetics and improve intimate well-being.
Facial Surgery
Precision facial surgeries to refine features and achieve natural, balanced results.
Fat Transfer/Removal
Advanced fat transfer and removal techniques to sculpt and enhance your body’s contours.
Comprehensive solutions to address a range of body concerns, from stubborn fat to skin laxity.
Breasts
Tailored solutions for breast concerns, including size, shape, and symmetry.
Other Areas
Targeted solutions for stubborn areas of the body, tailored to your unique needs.
Volume & Contouring
Specialized treatments to enhance body volume and improve overall contour for a balanced silhouette.
Holistic care focused on improving overall health and well-being for a balanced lifestyle.
Digestive Health
Comprehensive care to support digestive health and improve overall well-being.
Energy & Immunity
Holistic approaches to boost energy levels and strengthen your immune system for optimal health.
General Health
Personalized strategies to maintain and enhance your overall health and vitality.
Expert care for a wide variety of skin and facial concerns, promoting a healthy, glowing complexion.
Ageing Signs
Expert treatments to minimize ageing signs, rejuvenating your skin for a youthful glow.
Skin Texture & Tone
Advanced treatments to improve skin texture and even out tone for a smoother, radiant complexion.
Specific Areas
Targeted treatments to address skin concerns in specific facial areas for balanced, refined results.
Volume & Contouring
Tailored solutions to restore facial volume and enhance natural contours for a more youthful appearance.
When a friend uses your referral code, they'll get £50 off their first treatment, and you'll get £50 off your next one.
The more friends you invite, the more you earn.
The Link Between Botox and Ptosis: What You Need to Know
Quick Summary
Botox is a popular treatment in the UK. But this injectable treatment is not completely risk-free. One side effect of this treatment that worries some patients is eyelid ptosis, also called a droopy eyelid. It can happen when Botox spreads into muscles responsible for lifting the eyelid. This condition is temporary, but it can still feel upsetting because it changes how your eyes look and also affects your confidence.
The good news is that ptosis in Botox is uncommon. In many cases, it can be avoided with proper injection technique and aftercare. If it happens, there are also treatments available that may improve the symptoms while the Botox wears off.
is a prescription injectable treatment that is made from botulinum toxin type A. When used in cosmetic medicine, a very small and controlled amount is used to relax the muscles temporarily.
In the UK, Botox is commonly used to treat:
Botox is also used medically to help treat several health conditions, including hyperhidrosis, teeth grinding, chronic migraines, muscle spasms, and bladder problems.
Related read:
One of the main chemicals that send signals to the nerve telling them to contract is called acetylcholine.
Botox works by blocking the release of acetylcholine, meaning, the treated muscle cannot contract as strongly, making it reduce its movement and softens the wrinkles.
In the upper face, Botox is injected into muscles like:
The problem is that some important eyelid muscles are very close to the treatment areas. One of the most important is the levator palpebrae superioris muscle. This muscle lifts the upper eyelid every time you open your eyes, and if the toxin spreads to this muscle, it can affect the movement of the eyelid and lead to ptosis.
Related read:
Ptosis is the term for a droopy upper eyelid. In mild cases, the droop may be small and hard to notice. In severe noticeable cases, you may experience asymmetry where one eye may look smaller and uneven compared to the other eye.
For many patients, the biggest concern is cosmetic. The eyes naturally draw attention when talking to someone, so even small changes in your face can affect facial balance and confidence. In more severe cases, the eyelid can also block your vision partially.
Botox ptosis commonly affects one side, but it can also affect both eyes depending on where the injections were placed.
One of the misconceptions about Botox ptosis is that it is caused by hitting the wrong muscle during injection.
Botox ptosis is usually caused by toxin diffusion. This means the Botox spreads slightly beyond the intended area of treatment. The upper face, especially the eye area is delicate and its muscles are packed closely together.
This can happen for several reasons, including:
The area between the eyebrows, known as the glabella, is considered one of the higher risk areas because it is very close to the muscles that help lift the eyelids.
suggests eyelid ptosis happens in around 3% of upper face Botox cases, that is why choosing an expert injector is important to prevent this from happening. Symptoms also appear between 2 to 10 days after treatment, that is why patients are surprised because they initially thought their treatment went well.
Related read:
Medical studies show that Botox ptosis is temporary, but they can still affect you emotionally while recovery happens.
One published case:
Another case:
There are no reports suggesting topical brimonidine products may help in managing the symptoms temporarily.
The overall current evidence assure that:
Effective & professional doctor-led Botox and Ptosis at our central London clinic
Common symptoms include:
Symptoms develop slowly over several days.
An experienced practitioner can diagnose Botox ptosis during your clinic assessment.
During your appointment, they may check:
Clinicians may also measure something called , this helps them check how much the eyelid has dropped.
They will also ask about:
Some neurological conditions can also cause droopy eyelids so it is important to understand that some practitioners may recommend further medical assessment if your symptoms are unusual.
You should contact your clinic if you experience:
The most reassuring fact about Botox ptosis is that it is temporary.
As the effects of Botox slowly wears off, muscle movements slowly return. Ptosis is temporary and most patients recover from it within 4 to 8 weeks, although mild cases may improve sooner.
Related read:
Remember to:
It is also very important to not try any products you see and purchase online, using unapproved products can make things worse or cause new problems.
Related read:
The best way to reduce your risk is choosing an experienced medical injector.
Botox may look simple, but the upper face anatomy is extremely detailed. Tiny differences in the depth or placement of the injection can affect the results.
Experienced injectors understand:
They also know how to effectively manage the complications early if ever they happen.
Choosing where to have Botox is really important. A good clinic will focus not only on the results, but also on your safety.
Before booking, make sure that that clinic is qualified with medical training and experience in delivering the best results in upper face treatments. They should also use licensed products, give aftercare support, and be honest about the risks involved.
It is not common, but it can happen. Some studies suggest it may happen at around 3% rate in upper face treatments.
It usually appears between 2 and 10 days after the treatment.
No. Most patients recover naturally after 3 to 4 months after effects of Botox wear off.
They may temporarily improve eyelid position in some patients
Book for an experienced injector and follow the aftercare instructions to reduce the risk.
Yes. If changes in vision happens, you should seek medical advice immediately.
Botox remains one of the most requested injectable treatments in the UK, and many patients achieve excellent results without any complications. However, eyelid ptosis is an effect that can happen when Botox spreads into nearby muscles that controls the eyelid movement.
It is worth knowing that eyelid ptosis cases are temporary and manageable. Understanding the risks, symptoms, management, and aftercare can greatly help make a significant effect on both prevention and recovery.
Reserve a botox appointment
One of our experts will be more than happy to answer any questions you have.
or
or
{ "@context": "/", "@type": "ImageObject", "contentUrl": "/cdn-cgi/image/width=18,format=avif,quality=80//wp-content/themes/hssc/assets/images/whatsapp_logo_green.png", "creditText": "Harley Street Skin", "creator": { "@type": "Organization", "name": "Harley Street Skin" }, "caption": "Whatsapp logo", "name": "Chat via Whatsapp", "representativeOfPage": false, "height": "", "width": "18", "copyrightNotice": "Harley Street Skin", "license": "/image-license-policy/", "acquireLicensePage": "/image-license-policy/", "copyrightYear": "2026", "thumbnailUrl": "/cdn-cgi/image/width=18,format=avif,quality=80//wp-content/themes/hssc/assets/images/whatsapp_logo_green.png", "isFamilyFriendly": false
}
Hnisha Patel
Great experience with the staff and doctor. Was quick and easy to book an appt and the doctor was efficient and helpful!
17th June 2026
M Samuel
Amazing staff, helpful and a supportive team.
18th June 2026
Charlene Millen
I had lip filler with Dr Tee, I have very thin lips and he did such a great job! Really natural but a nice, subtle difference.
18th June 2026
Book Today and Enjoy £50 Off Your First Appointment as a Welcome Gift from Harley Street Skin Clinic
Use code GET50 at checkout. Limited-time only.
61,329
Happy patients served.
61,329
Happy patients served.
Need to reach us?
Contact or visit our clinic.
We're based in central London at the historic which is only a short 2 minute walk from Regents Park tube station a 10 minute taxi journey to Kings Cross, and St Pancras stations.
We're open Monday - Friday 8am - 8pm, and Saturdays 9am - 5pm, feel free to drop in to talk to a member of our team where they can answer any of your questions.
Alternatively , ,
{ "@context": "/", "@type": "ImageObject", "contentUrl": "/cdn-cgi/image/width=18,format=avif,quality=80//wp-content/themes/hssc/assets/images/whatsapp_logo_green.png", "creditText": "Harley Street Skin", "creator": { "@type": "Organization", "name": "Harley Street Skin" }, "caption": "Whatsapp logo", "name": "Chat via Whatsapp", "representativeOfPage": false, "height": "", "width": "18", "copyrightNotice": "Harley Street Skin", "license": "/image-license-policy/", "acquireLicensePage": "/image-license-policy/", "copyrightYear": "2026", "thumbnailUrl": "/cdn-cgi/image/width=18,format=avif,quality=80//wp-content/themes/hssc/assets/images/whatsapp_logo_green.png", "isFamilyFriendly": false
}
, or call us on .
Our award winning clinic
The Harley Street Skin Clinic is an award-winning boutique private cosmetic clinic in the heart of London. We offer the most advanced surgical and non surgical techniques in our fully-fitted consulting rooms, state-of-the-art operating theatres and purpose-built aesthetics and laser suite.
★★★★★
Subscribe to the 'Next in Line' podcast from the mother and daughter duo reinventing beauty and health on their own terms.