Richmond Botox doctors

	Neil J. Zemmel, MD Richmond Plastic Surgeon 14051 St Francis Blvd # 2209, Midlothian		15 answers
	Matthew Bridges, MD Richmond Facial Plastic Surgeon 14051 St. Francis Blvd Suite 2211, Midlothian		4 answers
	Gordon Lewis, MD Richmond Plastic Surgeon 1451 Johnston-Willis Drive , Richmond		3 answers
	Travis L. Shaw, MD Richmond Facial Plastic Surgeon 8700 Stony Point Parkway Suite 110, Richmond		2 answers
	Burton M. Sundin, MD Richmond Plastic Surgeon 7611 Forest Ave Suite 210, Richmond

Recent Answers

How Soon After Having Botox Would a Ptosis Show Up? Hours? Days? I had botox to the glabellar and crows feet 2 days ago and my new practitioner also gave me a half unit towards the upper, outer corner of my eyebrows too stating that this would raise my saggy eyelids. I've never had this before with my previous botox practitioner and am worried that this botox will actually cause my eyelid to droop?

A: botox and ptosis

The rate of getting eyelid ptosis from botox is very low in experienced practitioners. I have yet to "drop a lid" in one of my patients (knock on wood! :-) ). I tend to think you are at higher risk of ptosis from the glabellar injection than the lateral brow injection.

I frequently inject the lateral brow. Depending on where it is injected, this can cause a decrease in crows feet and/ or an elevation of the lateral eyebrow. The eyelid itself is usually not improved.

Good luck and don't worry!

Gordon Lewis, MD

Richmond Plastic Surgeon

Can Botox Under the Eyes (In the Eyelid Area) Cause Permanent Puffiness / Eye Bags? I had botox injected into my lower eyelids in an effort to remove some of my under eye wrinkles. About a week, after the injections, I woke up with huge eye bags. That was 4.5 months ago. Despite cold compresses, hard morning runs, applying vaseline at night, etc., the eye bags still are there. I am concerned that perhaps permanent damage was caused. Is that possible? Or will it just take more time? Thank you for any insight or advice as I have been feeling really down about this.

A: botox and bags under lower eyelids

So, I agree with the others below that botox under the eyes is hard to do. In fact the complication rate is high enough that I personally do not do it. I think you had an expected result of the botox. The botox paralyzed the orbicularis muscle and subequently weakened the muscle that helps "hold in" the fat underneath the eyeball. When the muscle is weakened, the fat can bulge out and create more pronounced bags underneath the eyes.

the good news is that this is a temporary effect of the botox. I realize that you are 4 1/2 months out, but some people get longer effects from botox than others. If this is the reason for your bags, they will get better. If they do not get better, the botox did not cause them.

Good Luck!

Gordon Lewis, MD

Richmond Plastic Surgeon

Is It Save to Use Botox to Correct 'Lion's Wrinkle' 5 Months After Nose Surgery? I had a nose surgery 5 months ago, and although it looks great already it is still healing. I soon would like to take care of the 'lion's wrinkle' on my forehead by using botox, but since the area is close to the nose and nerve paralysis is involved I was wondering if this would have any negative effect on the process of the healing of my nose (specifically the part just 'between the eyes') which is probably still a bit swolen etc. I am looking forward to your answers!

A: botox after rhinoplasty

You are perfectly fine to proceed with botox. Even if it were placed the same day of your surgery, there would be no adverse effect of the botox on your nose surgery.

Gordon Lewis, MD

Richmond Plastic Surgeon