Flower Mound Botox doctors

Colin Pero, MD Colin Pero, MD
Dallas Facial Plastic Surgeon
5425 W Spring Creek Pkwy Suite 170, Plano
2 answers
Vishnu Rumalla, MD Vishnu Rumalla, MD
Dallas Plastic Surgeon
1870 Keller Parkway Suite 100, Keller
James S. Kadi, MD James S. Kadi, MD
Dallas Plastic Surgeon
3317 Unicorn Lake Blvd. Suite 141, Denton
Isaac Perez, MD Isaac Perez, MD
Flower Mound Dermatologist
3821 Long Praire Rd. Ste 100, Flower Mound

Recent Answers

Is It Possible to Get Droopy Eye Lids Right After Botox Wears Off?

I had botox injections between my eye brows, forehead and just above my eyebrows about 4 months ago. After a few trials to correct the shape/arch of my brows, the final end result was fine and I was pleased. However after about 4 months when most of the Botox wore off, I noticed that my right eyelid drooped significantly and it's been that way for more than 2 weeks. Can this be related to botox as I can't think of any other reason for this occurrence. Please help and comment.

A: Droopy lids after botox wears off are not due to botox

The botox that was injected several months ago to your glabella and lateral brow gave you a brow lift.  When botox wears off (usually takes 3-5 months), your skin will return to its starting position.  Botox has no permanent effect. 

But, remember, Botox does not wear off abruptly.  It wears off gradually.  I suspect that the reason why you are noticing more droop on the right is that most of the botox has worn off on the right, but there is some residual botox effect on the left.  Over the next several weeks, the botox on the left side will wear off as well, and your lids will return to the shape that you had prior to any injections. 

The only other thing to consider is whether you have had a stroke.  This can lead to asymmetric facial features.  But given your history and the focality of the defect (R eyelid droop), I think that your symptoms are likely due to the botox wearing off. 

Melissa Chiang, MD
Houston Dermatologist
How Many Units to Botox Crow's Feet?

I have had Botox for a few years and love it. I have changed my location. I have a new person doing Botox, my problem is I have always maintained 22-24 units that has been perfect and on one occasion 28 units. Which was great as well. My problem is this, my new person that is doing Botox has guessed 39 units I was shocked, I told her no.

A: Range of botox for crow's feet - 8-20 units per side

The typical range is 8-20 units per side.  The amount of botox that is needed depends on how severe the wrinkles are and what your response has been in the past.  You've been really happy with 22-24 units, so tell the new person that you would prefer to start there.  More botox will result in a more "frozen" look;  it will also last longer, lenghtening the time that you can go between treatments.

Melissa Chiang, MD
Houston Dermatologist
Is Botox Ever Permanent?

I have a tendency to squint or have my eyes closed while pictures are being taken and a pretty gummy smile. In October, I had Botox injections around my eyes and right between my nose and upper lip. Long story short I like the way the eyes turned out but I can't smile now unless I completely force it. I'm worried that I won't be able to smile again because I've read here that Botox should wear off within 4 mos, this is my 3rd month. Are the effects of Botox ever permanent?

A: Botox always wears off

Botox always wears off.  Different patients have different durations, but typically it wears off between 3 and 6 months.  Be patient for a while longer. 

Melissa Chiang, MD
Houston Dermatologist
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