Austin Botox doctors

Louis W. Apostolakis, MD Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
5656 Bee Caves Road Suite E-201, Austin
38 answers
Steven E. Rasmussen, MD Steven E. Rasmussen, MD
Austin Dermatologist
1717 West 6th Street Suite 120R, Austin
35 answers
Daniel J. Ladd Jr., DO Daniel J. Ladd Jr., DO
Austin Dermatologist
3500 Jefferson Street Suite 200, Austin
21 answers
Randy J. Buckspan, MD Randy J. Buckspan, MD
Austin Plastic Surgeon
630 W. 34th Street Ste 201, Austin
14 answers
Jennifer Walden, MD Jennifer Walden, MD
Austin Plastic Surgeon
300 Beardsley Lane Bldg C, Suite 101, Austin
8 answers
Michael Coverman, MD Michael Coverman, MD
Austin Dermatologist
11623 Angus Rd Ste 25, Austin
7 answers
Adam J. Mamelak, MD Adam J. Mamelak, MD
Austin Dermatologic Surgeon
12319 North MoPac Expressway Suite 100, Austin
5 answers
Amy A. McClung, MD Amy A. McClung, MD
Austin Dermatologist
9701 Brodie Lane Suite A-106, Austin
4 answers
S.Pasquale Maggi, MD S.Pasquale Maggi, MD
Austin Plastic Surgeon
3410 Far West Blvd. Suite 110, 160, Austin
3 answers
Thomas T. Jeneby, MD Thomas T. Jeneby, MD
San Antonio Plastic Surgeon
7272 Wurzbach Unit 801 801, San Antonio
2 answers
Edward Buckingham, MD Edward Buckingham, MD
Austin Facial Plastic Surgeon
2745 Bee Caves Road Suite 101, Austin
2 answers
Miriam Hanson, MD Miriam Hanson, MD
Austin Dermatologist
12319 N MoPac Expy Suite 100, Austin
2 answers
Mary Ann Martinez, MD Mary Ann Martinez, MD
Austin Dermatologist
5300 Bee Caves Rd. Bldg. 3, Suite 120, Austin
2 answers

Recent Answers

Is the Orbicularis Oculi Muscle Ever Frozen with Botox Injections?

I read the paragraph below on an Oprah.com article, and was wondering if this muscle is commonly or ever frozen by botox injections? "When someone smiles out of genuine delight, a facial muscle called the orbicularis oculi involuntarily contracts, crinkling the skin around the eyes. Most of us are incapable of deliberately moving this muscle, which means that when a person fakes a smile, her orbicularis oculi likely won't budge."

A: Orbicularis Occuli Muscle and Botox

I have not looked at Oprah's explanation, but it is not true that the orbicularis muscle is inactive during a fake smile.  It is very easy to voluntarily activate that muscle and a fake smile would most certainly include the orbicularis.  In fact, it would require a great deal of concentration to fake a smile and not use the orbicularis muscle to any appreciable degree.  It is true that a faked smile is different than a real smile, but it has to do with the fine details of the activation and includes all of your smile muscles, not just the orbicularis.

Botox could be used to fully disable the orbicularis muscle.  But this is never done.  You only treat the portion in the Crow's foot area.  If you were to disable the entire muscle, you would not be able to close your eyes except by passive "spring" of the tissues and gravity.  This is seen in people after nerve injuries or strokes and it can be very dangerous to the health of your eye.

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
How Long Will Partial Eyelid Droop from Botox Last? (photo)

I was given Botox injections on 1/26/12. 5 days later on 1/31/12 I noticed that my left eyelid was drooping. My brows are even, only the one eyelid is drooping down close to the top of the pupil. I was prescribed Apraclonidine .5. It took a few days to start working, but now right after I use the drops my eyes almost look even, though still not 100% normal. Can anyone tell me when I may notice a permanent improvement? It's been 12 days since my injections. I'm desperate!

A: Eyelid ptosis after Botox

Rest assured, this will be a temporary effect.  However, it may take 2 months or more for you to see full correction of your eyelid ptosis.  The drops will help in the meantime.  There is nothing to do to speed the recovery.  You will do great!  Just make sure that future Botox is injected well above the eyebrow to avoid a repeat episode.

Jennifer Lauren Crawford, MD
Austin Plastic Surgeon
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