Virginia Beach Botox doctors

A droop of the eyelid , medically termed a ptosis, or colloquially quaz, named for the Disney version of Quisimodo, is a complication of Botox placed too close to the Levator muscle of the eyelid. By weakening this muscle, there is a subsequent drop of the upper lid. This is not permanent by any means. How long your quaz will last, depends on how much Botox infiltrated into the Levator muscle and its concentration. In most cases the ptosis lasts about a month but can last twice or even three times that period of time. It should not get worse than it is now. Generally there is no affect on vision....certainly not a permanent effect.

   A ptosis can be treated with eye drops called Iopidine ( apraclonidine). This works by activating small lid lifting muscles called Muller's muscles. Often, the eye can become irritated with this drug, however. At that point an over the counter eye drop called Naphcon can be used.

When lid ptosis was first studied, using expert and experienced injectors, the ptosis rate was judged to be about 5% of patients. The blame was placed on those affected patients: that they lacked a pseudomembrane that shielded the levator muscle. However, as physicians became more experienced it turned out that lid ptosis has more to due with imperfect technique, what aviators call pilot error. A realistic percentage is between 1-3% of patients. 

I could not find any mention any drug interaction between fish oil and Botox in the literature. I cannot think of any theoretical reason that this should be a problem. So, it should be fine to resume taking fish oil.

Botox should not be injected in the eyelid. It can be used to lift the brow laterally to show more of the eyelid crease. This can be done easily by providers who know the anatomy and interactions of the muscles.