Abstract

Blepharoptosis treatment as a complication due to botulinum toxin application

Highlights

  • Complications resulting from the application of botulinum toxin are not frequent and, in most cases, resolve spontaneously in about 6 weeks

  • Blepharoptosis is due to the dispersion of the botulinum toxin through the fascia of the orbital septum to the levator muscle of the upper eyelid in the upper eyelid and is related to the application of botulinum toxin outside the safe area or to a marked dispersion of the toxin due to excessive manipulation of the region

  • Blepharoptosis is an uncommon complication after application of botulinum toxin with an incidence of 5.4% in total

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Summary

Introduction

Complications resulting from the application of botulinum toxin are not frequent and, in most cases, resolve spontaneously in about 6 weeks. Among these complications, the one that causes the most complaints from patients is blepharoptosis. Blepharoptosis is due to the dispersion of the botulinum toxin through the fascia of the orbital septum to the levator muscle of the upper eyelid in the upper eyelid and is related to the application of botulinum toxin outside the safe area or to a marked dispersion of the toxin due to excessive manipulation of the region. There are not many articles in the literature that deal with the reversal of botulinum toxin in cases of complications and the present article intends to show which options are available in order to treat this complication and others that may arise, with the use of botulinum toxin

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