Eyelid Make-Up to Manage Transient Blepharoptosis After Botulinum Toxin Injection

Transient blepharoptosis is a feared complication after botulinum toxin-A (BTX-A) cosmetic injections into the upper third of the face. Alpha-adrenergic agonist eyedrops are usually employed to address this adverse effect.^1-3 However, response may vary among patients and their use may be associated with ocular adverse effects.^2-4 The use of eyelid make-up might be an alternative approach to manage temporary upper eyelid ptosis. The authors had previous experience using a similar approach to conservatively manage severe myopathic blepharoptosis cases when surgical correction was contraindicated.⁵