Droopy Eyelid After Botox® (Ptosis): Causes, Remedies, Duration, and Prevention
Learn why ptosis occurs after Botox®, how long it lasts, safe remedies & when to seek care — plus clinical context from IAPAM-trained providers.
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Many people, especially those who feel they have a low pain tolerance, worry if Botox® will hurt. They often avoid getting Botox® because they’re worried that the needles will hurt.
However, the needle used to administer Botox® is so small that most people report feeling a slight pinch or stinging sensation.
Most physicians use a very small, fine insulin needle (30 or 31 gauge) to perform the injections, which significantly reduces discomfort.
For those still concerned about pain, numbing cream can be applied to the treatment area before the procedure to further minimize any discomfort.
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Scottsdale, AZ
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The technique used by the person injecting the Botox® significantly impacts how much pain is felt by the patient. Whether or not Botox® hurts is dependent on the technique of the injector and the needle gauge (how large) that injector uses.
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A few different factors can cause the discomfort or Botox® injection pain; a large gauge needle hitting a nerve receptor and/or poorly or wrongly mixed Botox® can both cause more discomfort than normal.
Also, If the Botox® was reconstituted with anything other than buffered saline, it does hurt. To reduce the discomfort of the injections your physician can use especially small, narrow-gauge needles, and can allow the reconstituted material to come to room temperature.
Learn why ptosis occurs after Botox®, how long it lasts, safe remedies & when to seek care — plus clinical context from IAPAM-trained providers.
Who can inject Botox® in your state? Complete 2026 guide to Botox® certification requirements, scope of practice, and supervision rules for MDs, NPs, PAs, RNs, and dentists.
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